Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $19,054.61 / $33,884.42	Facility		$7,943.28	$19,054.61	$33,884.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $33,884.42	Facility		$7,943.28	$13,489.63	$33,884.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $20,417.38	Professional		$13,489.63	$13,489.63	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $26,915.35 / $26,915.35	Facility		$4,073.80	$26,915.35	$26,915.35
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 $28,840.32 / $36,307.81 / $45,708.82	Facility		$28,840.32	$36,307.81	$45,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75