Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $9,549.93 / $17,378.01	Facility		$2,951.21	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $9,120.11	Professional		$602.56	$602.56	$9,120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $9,332.54 / $18,197.01	Facility		$2,951.21	$9,332.54	$18,197.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $7,079.46 / $20,417.38	Professional		$602.56	$7,079.46	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $14,125.38 / $14,125.38	Facility		$5,495.41	$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