Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87,096.36 / $102,329.30 / $204,173.79	Facility		$87,096.36	$102,329.30	$204,173.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58,884.37 / $75,857.76 / $114,815.36	Facility		$58,884.37	$75,857.76	$114,815.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57,543.99 / $63,095.73 / $81,283.05	Facility		$57,543.99	$63,095.73	$81,283.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $58,884.37 / $81,283.05 / $112,201.85	Facility		$58,884.37	$81,283.05	$112,201.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $67,608.30 / $93,325.43	Facility		$56,234.13	$67,608.30	$93,325.43
United Facility/Professional Facility Modifier Low / Median / High Price $63,095.73 / $83,176.38 / $100,000.00	Facility		$63,095.73	$83,176.38	$100,000.00