Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $48.52	Facility		$20.62	$20.62	$48.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $1,280.00	Professional		$20.14	$20.14	$1,280.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $28.80 / $43.30	Facility		$20.14	$28.80	$43.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $79,999.20 / $79,999.20	Facility		$20.87	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $26.69 / $43.30	Facility		$20.49	$26.69	$43.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $24.56 / $24.56	Professional		$20.62	$24.56	$24.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $25.08 / $53.83	Facility		$16.21	$25.08	$53.83
United Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $23.58	Professional		$19.64	$19.64	$23.58