Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.17 / $220.00 / $355.55	Professional		$183.17	$220.00	$355.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.40 / $464.40 / $464.40	Facility		$464.40	$464.40	$464.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $302.22 / $454.38	Facility		$211.34	$302.22	$454.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $207.32 / $17,728.12	Professional		$207.32	$207.32	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.02 / $160.02 / $160.02	Facility		$160.02	$160.02	$160.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.67 / $302.22 / $563.16	Facility		$197.67	$302.22	$563.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.29 / $228.05 / $237.83	Professional		$209.29	$228.05	$237.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $597.54 / $597.54 / $597.54	Facility		$597.54	$597.54	$597.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.77 / $223.77 / $223.77	Professional		$223.77	$223.77	$223.77
United Facility/Professional Professional Modifier Low / Median / High Price $213.54 / $248.63 / $248.78	Professional		$213.54	$248.63	$248.78