Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $319.77	Professional		$297.33	$297.33	$319.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.00 / $616.00 / $616.00	Facility		$616.00	$616.00	$616.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $425.18 / $639.26	Facility		$297.33	$425.18	$639.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.83 / $384.78 / $639.26	Facility		$286.83	$384.78	$639.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.50 / $326.48 / $343.75	Professional		$302.50	$326.48	$343.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $297.00 / $297.00	Professional		$297.00	$297.00	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $339.28 / $360.30	Professional		$300.25	$339.28	$360.30