Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,380.38 / $7,943.28	Facility		$660.69	$1,380.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,380.38	Professional		$660.69	$660.69	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $794.33 / $3,090.30	Facility		$660.69	$794.33	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,230.27	Professional		$537.03	$660.69	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,290.87 / $3,715.35	Facility		$776.25	$2,290.87	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $794.33 / $1,659.59	Facility		$660.69	$794.33	$1,659.59
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 $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10