Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.54 / $1,008.54 / $3,025.62	Facility		$1,008.54	$1,008.54	$3,025.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.74 / $300.00 / $556.91	Professional		$299.74	$300.00	$556.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $299.74 / $547.03	Facility		$299.74	$299.74	$547.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.38 / $104.50 / $127.30	Facility		$76.38	$104.50	$127.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.74 / $299.74 / $547.03	Facility		$299.74	$299.74	$547.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $137.83 / $137.83	Professional		$49.95	$137.83	$137.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $94.00 / $94.00	Professional		$89.30	$94.00	$94.00