Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $36.31 / $36.31	Facility		$26.92	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $26.92 / $36.31	Professional		$6.03	$26.92	$36.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $29.51 / $60.26	Facility		$27.54	$29.51	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $26.92 / $64.57	Professional		$10.00	$26.92	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $67.61 / $89.13	Facility		$34.67	$67.61	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $28.84 / $43.65	Facility		$27.54	$28.84	$43.65
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 $95.50 / $120.23 / $151.36	Facility		$95.50	$120.23	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $177.83	Facility		$109.65	$134.90	$177.83