Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.67 / $287.67 / $287.67	Facility		$287.67	$287.67	$287.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $250.00 / $486.13	Professional		$215.42	$250.00	$486.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.17 / $531.17 / $531.17	Facility		$531.17	$531.17	$531.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $345.69 / $519.74	Facility		$241.74	$345.69	$519.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $237.13 / $17,728.12	Professional		$237.13	$237.13	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $187.04 / $187.04	Facility		$187.04	$187.04	$187.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.45 / $345.69 / $662.30	Facility		$232.45	$345.69	$662.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $264.14 / $279.69	Professional		$246.13	$264.14	$279.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $718.86 / $718.86 / $718.86	Facility		$718.86	$718.86	$718.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.96 / $255.96 / $255.96	Professional		$255.96	$255.96	$255.96
United Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $284.39 / $284.56	Professional		$267.95	$284.39	$284.56