Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $389.05	Professional		$81.28	$104.71	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $100.00 / $194.98	Facility		$91.20	$100.00	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $363.08	Professional		$81.28	$89.13	$363.08
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 $91.20 / $91.20 / $1,659,586.91	Facility		$91.20	$91.20	$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
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $34.67	Professional		$26.92	$34.67	$34.67
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