Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $812.83	Professional		$204.17	$245.47	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $302.00 / $588.84	Facility		$275.42	$302.00	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $446.68	Professional		$213.80	$239.88	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,148.15 / $1,148.15	Facility		$162.18	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,659,586.91	Facility		$275.42	$275.42	$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 $537.03 / $891.25 / $1,318.26	Facility		$537.03	$891.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $831.76	Facility		$512.86	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95