Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.81 / $333.37 / $416.71	Facility		$277.81	$333.37	$416.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $277.81 / $277.81	Professional		$277.81	$277.81	$277.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $852.96 / $852.96 / $1,020.30	Professional		$852.96	$852.96	$1,020.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $254.96 / $272.44 / $79,999.20	Facility		$254.96	$272.44	$79,999.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.78 / $355.78 / $355.78	Professional		$355.78	$355.78	$355.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,315.97 / $1,315.97 / $1,355.28	Professional		$1,315.97	$1,315.97	$1,355.28
United Facility/Professional Professional Modifier Low / Median / High Price $576.96 / $629.41 / $629.41	Professional		$576.96	$629.41	$629.41