Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $164.60 / $322.00	Professional		$154.01	$164.60	$322.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.82 / $350.82 / $350.82	Facility		$350.82	$350.82	$350.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $235.38 / $353.89	Facility		$164.60	$235.38	$353.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $156.62 / $17,728.12	Professional		$156.62	$156.62	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $134.53 / $134.53	Facility		$25.00	$134.53	$134.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.25 / $235.38 / $446.52	Facility		$161.25	$235.38	$446.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $175.41 / $188.56	Professional		$165.94	$175.41	$188.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $168.43 / $168.43	Professional		$168.43	$168.43	$168.43
United Facility/Professional Professional Modifier Low / Median / High Price $177.07 / $187.09 / $188.04	Professional		$177.07	$187.09	$188.04