Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $19,952.62 / $31,622.78	Facility		$4,677.35	$19,952.62	$31,622.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $42,657.95 / $53,703.18	Facility		$19,054.61	$42,657.95	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $56,234.13	Facility		$1,995.26	$10,232.93	$56,234.13