Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $4.79 / $9.40	Facility		$4.70	$4.79	$9.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $3.90 / $4.70	Professional		$3.90	$3.90	$4.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $4.70 / $5.58	Facility		$3.90	$4.70	$5.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.66 / $17,728.12	Professional		$4.00	$4.66	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $3.90 / $5.58	Facility		$1.66	$3.90	$5.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $1.66 / $2.23	Professional		$1.60	$1.66	$2.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Professional		$4.95	$4.95	$4.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $6.36 / $7.31	Professional		$5.53	$6.36	$7.31