Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $457.09	Facility		$257.04	$257.04	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $602.56 / $977.24	Professional		$75.86	$602.56	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $239.88 / $302.00	Facility		$97.72	$239.88	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $257.04 / $457.09	Facility		$85.11	$257.04	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $630.96	Professional		$66.07	$66.07	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $331.13 / $331.13	Facility		$87.10	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $251.19 / $1,659,586.91	Facility		$85.11	$251.19	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $363.08	Facility		$204.17	$281.84	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $426.58	Facility		$263.03	$323.59	$426.58