Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $15,848.93	Facility		$2,884.03	$5,754.40	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $138.04 / $426.58	Professional		$47.86	$138.04	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $20,417.38	Facility		$2,398.83	$5,754.40	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $177.83 / $4,677.35	Professional		$47.86	$177.83	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $478.63 / $478.63	Facility		$93.33	$478.63	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,659,586.91	Facility		$676.08	$676.08	$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