Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $7,943.28	Facility		$3,630.78	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Professional		$1,412.54	$1,412.54	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $20,417.38	Facility		$3,630.78	$5,011.87	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,677.35 / $20,417.38	Professional		$1,412.54	$4,677.35	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $371.54 / $588.84	Facility		$83.18	$371.54	$588.84
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 $549.54 / $758.58 / $912.01	Facility		$549.54	$758.58	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,174.90 / $6,165.95	Facility		$389.05	$1,174.90	$6,165.95