Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,025.60 / $8,709.64	Facility		$1,548.82	$6,025.60	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $1,513.56	Professional		$257.04	$436.52	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,309.57 / $8,709.64	Facility		$1,548.82	$6,309.57	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $6,606.93	Professional		$371.54	$537.03	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,513.56 / $1,513.56	Facility		$323.59	$1,513.56	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659,586.91 / $1,659,586.91 / $1,659,586.91	Facility		$1,659,586.91	$1,659,586.91	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,630.27	Facility		$1,584.89	$2,041.74	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $7,413.10	Facility		$1,096.48	$2,754.23	$7,413.10