Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.90 / $4,704.00 / $8,728.00	Facility		$1,875.90	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Professional		$358.00	$358.00	$358.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.22 / $770.22 / $2,904.18	Professional		$770.22	$770.22	$2,904.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,126.02 / $2,126.02 / $2,126.02	Facility		$2,126.02	$2,126.02	$2,126.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $252.20 / $252.20 / $252.20	Professional		$252.20	$252.20	$252.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.69 / $571.00 / $79,999.20	Facility		$224.69	$571.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.22 / $770.22 / $2,904.18	Professional		$770.22	$770.22	$2,904.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00