Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $21.08 / $21.08	Professional		$21.08	$21.08	$21.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $121.19 / $121.19	Professional		$121.19	$121.19	$121.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $21.00 / $79,999.20	Facility		$10.50	$21.00	$79,999.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.14 / $194.14 / $203.54	Professional		$194.14	$194.14	$203.54
United Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $13.61 / $14.85	Professional		$13.61	$13.61	$14.85