Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,943.28	Facility		$2,951.21	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,513.56 / $1,584.89	Professional		$309.03	$1,513.56	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,623.41 / $8,709.64	Facility		$2,951.21	$5,623.41	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,584.89 / $20,417.38	Professional		$309.03	$1,584.89	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $602.56 / $602.56	Facility		$125.89	$602.56	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $1,659,586.91	Facility		$36.31	$36.31	$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 $602.56 / $776.25 / $977.24	Facility		$602.56	$776.25	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,230.27 / $6,165.95	Facility		$389.05	$1,230.27	$6,165.95