Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $313.95	Professional		$275.39	$275.39	$313.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.79 / $604.79 / $604.79	Facility		$604.79	$604.79	$604.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $393.82 / $592.11	Facility		$275.39	$393.82	$592.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.20 / $259.20 / $324.00	Facility		$259.20	$259.20	$324.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.61 / $393.82 / $604.79	Facility		$281.61	$393.82	$604.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $302.39 / $337.50	Professional		$297.00	$302.39	$337.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $291.60 / $291.60	Professional		$291.60	$291.60	$291.60
United Facility/Professional Professional Modifier Low / Median / High Price $279.49 / $296.81 / $296.81	Professional		$279.49	$296.81	$296.81