Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,318.26 / $3,630.78	Facility		$588.84	$1,318.26	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,318.26 / $3,630.78	Facility		$588.84	$1,318.26	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $380.19 / $380.19	Facility		$81.28	$380.19	$380.19
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 $389.05 / $501.19 / $630.96	Facility		$389.05	$501.19	$630.96
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