Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $478.63	Professional		$263.03	$416.87	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $3.09	Professional		$2.45	$2.45	$3.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $346.74 / $676.08	Facility		$316.23	$346.74	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $501.19	Professional		$263.03	$316.23	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $239.88 / $239.88	Facility		$51.29	$239.88	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $1,659,586.91	Facility		$316.23	$316.23	$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 $138.04 / $169.82 / $213.80	Facility		$138.04	$169.82	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $257.04	Facility		$158.49	$194.98	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95