Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.10 / $384.12 / $480.15	Facility		$320.10	$384.12	$480.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.10 / $320.10 / $320.10	Professional		$320.10	$320.10	$320.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,933.25 / $1,933.25 / $1,933.25	Facility		$1,933.25	$1,933.25	$1,933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.16 / $1,211.60 / $3,539.70	Professional		$1,013.16	$1,211.60	$3,539.70
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 $409.93 / $409.93 / $409.93	Professional		$409.93	$409.93	$409.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,408.00 / $1,408.00 / $2,463.17	Professional		$1,408.00	$1,408.00	$2,463.17
United Facility/Professional Professional Modifier Low / Median / High Price $685.15 / $685.15 / $747.44	Professional		$685.15	$685.15	$747.44