Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,513.56	Facility		$1,230.27	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,513.56	Professional		$1,230.27	$1,230.27	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $2,041.74	Facility		$1,230.27	$1,288.25	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,288.25	Professional		$1,230.27	$1,230.27	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,949.84 / $1,949.84	Facility		$288.40	$1,949.84	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $2,290.87	Facility		$1,230.27	$1,348.96	$2,290.87
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 $1,905.46 / $2,511.89 / $3,162.28	Facility		$1,905.46	$2,511.89	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $3,890.45	Facility		$2,398.83	$2,951.21	$3,890.45