Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,698.24	Professional		$812.83	$977.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $912.01	Professional		$741.31	$741.31	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,096.48 / $2,137.96	Facility		$977.24	$1,096.48	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,698.24	Professional		$831.76	$977.24	$1,698.24
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 $977.24 / $977.24 / $1,659,586.91	Facility		$977.24	$977.24	$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 $1,479.11 / $1,548.82 / $1,548.82	Professional		$1,479.11	$1,548.82	$1,548.82
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