Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,623.41 / $5,623.41	Professional		$3,019.95	$5,623.41	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $4,365.16 / $4,365.16	Professional		$60.26	$4,365.16	$4,365.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $22,908.68	Professional		$21,877.62	$21,877.62	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,248.07	Professional		$4,786.30	$4,786.30	$5,248.07