Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $588.84	Professional		$288.40	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $346.74	Professional		$281.84	$281.84	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $870.96	Facility		$398.11	$446.68	$870.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $588.84	Professional		$288.40	$389.05	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $691.83 / $691.83	Facility		$162.18	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,659,586.91	Facility		$398.11	$398.11	$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 $407.38 / $537.03 / $645.65	Facility		$407.38	$537.03	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $851.14 / $851.14	Professional		$812.83	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $831.76	Facility		$512.86	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95