Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.39 / $261.58 / $632.05	Facility		$221.39	$261.58	$632.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $219.82 / $357.00	Professional		$162.50	$219.82	$357.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.74 / $482.74 / $482.74	Facility		$482.74	$482.74	$482.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $284.47 / $472.61	Facility		$219.82	$284.47	$472.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $215.51 / $17,728.12	Professional		$215.51	$215.51	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $183.23 / $183.23	Facility		$25.00	$183.23	$183.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.75 / $314.33 / $585.78	Facility		$201.75	$314.33	$585.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $237.06 / $247.38	Professional		$217.69	$237.06	$247.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $232.75 / $232.75	Professional		$232.75	$232.75	$232.75
United Facility/Professional Professional Modifier Low / Median / High Price $243.53 / $258.61 / $258.61	Professional		$243.53	$258.61	$258.61