Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $40.74	Professional		$39.81	$40.74	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $147.91	Professional		$60.26	$147.91	$147.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $263.03	Professional		$251.19	$251.19	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $39.81	Professional		$36.31	$36.31	$39.81