Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $851.14	Professional		$398.11	$478.63	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $1,122.02	Facility		$524.81	$575.44	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $851.14	Professional		$398.11	$478.63	$851.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,884.03 / $2,884.03	Facility		$812.83	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,659,586.91	Facility		$524.81	$524.81	$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 $1,778.28 / $2,511.89 / $3,235.94	Facility		$1,778.28	$2,511.89	$3,235.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $398.11	Professional		$380.19	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,981.07	Facility		$2,454.71	$3,019.95	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95