Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $7,943.28	Facility		$4,786.30	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,011.87 / $20,417.38	Facility		$4,677.35	$5,011.87	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,677.35 / $20,417.38	Professional		$3,019.95	$4,677.35	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $14,125.38 / $14,125.38	Facility		$2,754.23	$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 $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68