Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,943.28 / $17,378.01	Facility		$4,897.79	$7,943.28	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,905.46	Professional		$1,584.89	$1,584.89	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,943.28 / $20,417.38	Facility		$4,897.79	$7,943.28	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $7,079.46 / $20,417.38	Professional		$1,584.89	$7,079.46	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $478.63 / $478.63	Facility		$104.71	$478.63	$478.63
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 $467.74 / $630.96 / $741.31	Facility		$467.74	$630.96	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95