Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.52 / $304.52 / $304.52	Professional		$304.52	$304.52	$304.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $640.78 / $640.78 / $765.24	Professional		$640.78	$640.78	$765.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.44 / $272.44 / $79,999.20	Facility		$272.44	$272.44	$79,999.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.98 / $389.98 / $389.98	Professional		$389.98	$389.98	$389.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $777.20 / $777.20 / $819.13	Professional		$777.20	$777.20	$819.13
United Facility/Professional Professional Modifier Low / Median / High Price $432.72 / $432.72 / $472.06	Professional		$432.72	$432.72	$472.06