Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,698.24	Facility		$1,202.26	$1,202.26	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $501.19	Facility		$346.74	$501.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,818.38	Facility		$1,202.26	$1,202.26	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $4,073.80	Facility		$2,570.40	$3,235.94	$4,073.80