Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,235.94 / $7,943.28	Facility		$190.55	$3,235.94	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,698.24 / $4,168.69	Professional		$398.11	$1,698.24	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $4,677.35 / $7,943.28	Facility		$371.54	$4,677.35	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,698.24 / $4,677.35	Professional		$467.74	$1,698.24	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,071.52	Facility		$645.65	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,659,586.91	Facility		$1,862.09	$1,862.09	$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