Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $3,570.00	Professional		$3,570.00	$3,570.00	$3,570.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28,120.95 / $28,120.95 / $28,120.95	Professional		$28,120.95	$28,120.95	$28,120.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,697.17 / $14,559.79 / $79,999.20	Facility		$3,697.17	$14,559.79	$79,999.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21,711.80 / $21,711.80 / $22,755.04	Professional		$21,711.80	$21,711.80	$22,755.04
United Facility/Professional Professional Modifier Low / Median / High Price $4,797.35 / $4,797.35 / $5,233.49	Professional		$4,797.35	$4,797.35	$5,233.49