Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $267.80 / $267.80	Professional		$267.80	$267.80	$267.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $533.63 / $533.63 / $637.71	Professional		$533.63	$533.63	$637.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.77 / $272.44 / $79,999.20	Facility		$245.77	$272.44	$79,999.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.95 / $342.95 / $342.95	Professional		$342.95	$342.95	$342.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $546.08 / $546.08 / $584.29	Professional		$546.08	$546.08	$584.29
United Facility/Professional Professional Modifier Low / Median / High Price $360.60 / $360.60 / $393.39	Professional		$360.60	$360.60	$393.39