Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $380.19	Professional		$371.54	$371.54	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $21,877.62	Facility		$21,877.62	$21,877.62	$21,877.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $794.33	Facility		$371.54	$380.19	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $19,054.61 / $19,054.61	Facility		$2,818.38	$19,054.61	$19,054.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $933.25	Facility		$371.54	$380.19	$933.25
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 $20,892.96 / $25,703.96 / $33,113.11	Facility		$20,892.96	$25,703.96	$33,113.11
United Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $27,542.29 / $36,307.81	Facility		$22,387.21	$27,542.29	$36,307.81