Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,803.84 / $22,908.68	Facility		$7,943.28	$13,803.84	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Professional		$22,908.68	$22,908.68	$22,908.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $18,620.87 / $29,512.09	Facility		$7,943.28	$18,620.87	$29,512.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $20,417.38 / $22,908.68	Professional		$8,912.51	$20,417.38	$22,908.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $26,915.35 / $26,915.35	Facility		$7,244.36	$26,915.35	$26,915.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $27,542.29 / $29,512.09	Facility		$22,908.68	$27,542.29	$29,512.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $28,840.32 / $43,651.58	Facility		$15,488.17	$28,840.32	$43,651.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $50,118.72	Facility		$3,019.95	$20,892.96	$50,118.72