Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.71 / $1,923.04 / $2,402.98	Facility		$504.71	$1,923.04	$2,402.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.60 / $658.93 / $810.48	Professional		$473.60	$658.93	$810.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.62 / $1,349.62 / $1,349.62	Facility		$1,349.62	$1,349.62	$1,349.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $658.93 / $873.28 / $1,416.70	Facility		$658.93	$873.28	$1,416.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $535.57 / $535.57 / $79,999.20	Facility		$535.57	$535.57	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $658.93 / $942.75 / $1,508.40	Facility		$658.93	$942.75	$1,508.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $905.04 / $942.75	Professional		$674.81	$905.04	$942.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $754.20 / $754.20 / $754.20	Professional		$754.20	$754.20	$754.20
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $760.81	Professional		$661.57	$661.57	$760.81