Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $223.87 / $229.09	Facility		$181.97	$223.87	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $223.87 / $467.74	Facility		$186.21	$223.87	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $208.93	Professional		$75.86	$181.97	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $691.83 / $691.83	Facility		$269.15	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $288.40	Facility		$186.21	$194.98	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $794.33 / $1,071.52	Facility		$331.13	$794.33	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,454.71	Facility		$1,513.56	$1,862.09	$2,454.71