Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.30 / $144.30 / $151.32	Facility		$144.30	$144.30	$151.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $97.32 / $97.33	Professional		$90.48	$97.32	$97.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $90.48 / $142.51	Facility		$90.48	$90.48	$142.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $45.00 / $72.00	Facility		$28.37	$45.00	$72.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $90.48 / $194.53	Facility		$90.48	$90.48	$194.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.36 / $117.93	Facility		$58.88	$89.36	$117.93