Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.72 / $190.12 / $304.19	Facility		$79.72	$190.12	$304.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $104.11 / $223.84	Facility		$80.31	$104.11	$223.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $71.15 / $96.07	Facility		$39.00	$71.15	$96.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $104.11 / $223.84	Facility		$79.09	$104.11	$223.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $232.84 / $311.02 / $359.89	Facility		$232.84	$311.02	$359.89