Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $162.18	Professional		$147.91	$147.91	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $1,047.13	Facility		$588.84	$954.99	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $537.03 / $537.03	Facility		$501.19	$537.03	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $162.18	Professional		$147.91	$147.91	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $1,047.13	Facility		$501.19	$588.84	$1,047.13
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 Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89