Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.95 / $428.48 / $953.02	Facility		$314.95	$428.48	$953.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.54 / $369.38 / $768.00	Professional		$258.54	$369.38	$768.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $689.04 / $689.04 / $689.04	Facility		$689.04	$689.04	$689.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.55 / $479.84 / $721.43	Facility		$335.55	$479.84	$721.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $329.09 / $17,728.12	Professional		$329.09	$329.09	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $287.52 / $287.52 / $287.52	Facility		$287.52	$287.52	$287.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.29 / $479.84 / $721.43	Facility		$316.29	$479.84	$721.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.37 / $344.89 / $384.51	Professional		$338.37	$344.89	$384.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $355.28 / $355.28 / $355.28	Professional		$355.28	$355.28	$355.28
United Facility/Professional Professional Modifier Low / Median / High Price $371.87 / $394.76 / $394.91	Professional		$371.87	$394.76	$394.91