Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $3,019.95	Facility		$302.00	$1,000.00	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,479.11	Professional		$302.00	$302.00	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $630.96	Facility		$302.00	$302.00	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,071.52	Professional		$302.00	$302.00	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $125.89 / $125.89	Facility		$83.18	$125.89	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $512.86	Facility		$302.00	$302.00	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33