Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $11,748.98 / $24,547.09	Facility		$6,606.93	$11,748.98	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $4,168.69	Professional		$2,398.83	$3,090.30	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $11,481.54 / $24,547.09	Facility		$6,606.93	$11,481.54	$24,547.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $10,000.00 / $20,417.38	Professional		$3,090.30	$10,000.00	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $14,125.38 / $14,125.38	Facility		$3,019.95	$14,125.38	$14,125.38
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 $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $26,302.68	Facility		$2,884.03	$17,782.79	$26,302.68