Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74,121.30 / $141,186.00 / $170,479.00	Facility		$74,121.30	$141,186.00	$170,479.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96,537.65 / $114,404.66 / $129,637.72	Facility		$96,537.65	$114,404.66	$129,637.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58,920.55 / $90,822.62 / $99,999.00	Facility		$58,920.55	$90,822.62	$99,999.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75,173.59 / $129,597.72 / $189,633.90	Facility		$75,173.59	$129,597.72	$189,633.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $84,049.91 / $118,019.95 / $150,692.32	Facility		$84,049.91	$118,019.95	$150,692.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $116,245.84 / $167,454.73	Facility		$3,775.00	$116,245.84	$167,454.73