Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $794.33	Professional		$691.83	$794.33	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $489.78 / $489.78	Professional		$60.26	$489.78	$489.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,090.30	Professional		$1,819.70	$1,819.70	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,071.52	Professional		$1,000.00	$1,000.00	$1,071.52