Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $66.07	Professional		$33.11	$33.11	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $147.91	Facility		$66.07	$66.07	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $75.86 / $75.86	Professional		$33.11	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $107.15 / $107.15	Facility		$41.69	$107.15	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $144.54	Facility		$66.07	$66.07	$144.54
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 $97.72 / $134.90 / $165.96	Facility		$97.72	$134.90	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $169.82	Facility		$104.71	$128.82	$169.82