Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.82 / $921.82 / $921.82	Professional		$921.82	$921.82	$921.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,732.45 / $1,732.45 / $2,860.62	Professional		$1,732.45	$1,732.45	$2,860.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.44 / $272.44 / $79,999.20	Facility		$272.44	$272.44	$79,999.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,288.96 / $4,288.96 / $4,924.68	Professional		$4,288.96	$4,288.96	$4,924.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.96 / $1,171.96 / $1,278.50	Professional		$1,171.96	$1,171.96	$1,278.50