Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $269.15 / $295.12	Facility		$50.12	$269.15	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $51.29	Professional		$50.12	$50.12	$51.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $269.15 / $295.12	Facility		$72.44	$269.15	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $147.91 / $147.91	Facility		$21.38	$147.91	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $1,659,586.91	Facility		$50.12	$50.12	$1,659,586.91
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 $100.00 / $158.49 / $239.88	Facility		$100.00	$158.49	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $218.78 / $288.40	Facility		$177.83	$218.78	$288.40