Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $11,220.18 / $24,547.09	Facility		$7,943.28	$11,220.18	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,182.57 / $20,892.96	Facility		$10,000.00	$13,182.57	$20,892.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $11,220.18 / $20,417.38	Professional		$10,000.00	$11,220.18	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $12,022.64 / $12,022.64	Facility		$4,786.30	$12,022.64	$12,022.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $12,302.69 / $20,892.96	Facility		$11,220.18	$12,302.69	$20,892.96
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 $8,128.31 / $12,882.50 / $19,054.61	Facility		$8,128.31	$12,882.50	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $21,877.62	Facility		$1,995.26	$10,232.93	$21,877.62