Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,995.26	Professional		$1,000.00	$1,288.25	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $3,235.94	Facility		$1,000.00	$1,584.89	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,995.26	Professional		$1,000.00	$1,288.25	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,000.00 / $1,000.00	Facility		$288.40	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,659,586.91	Facility		$1,513.56	$1,584.89	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $79.43	Professional		$15.14	$15.14	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,659.59	Facility		$1,047.13	$1,318.26	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,949.84	Facility		$1,202.26	$1,513.56	$1,949.84