Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $8,835.07	Facility		$526.98	$526.98	$8,835.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.58 / $514.58 / $514.58	Professional		$514.58	$514.58	$514.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.96 / $1,053.96 / $1,053.96	Facility		$1,053.96	$1,053.96	$1,053.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $514.58 / $681.98 / $1,106.34	Facility		$514.58	$681.98	$1,106.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $348.95 / $348.95 / $671.05	Professional		$348.95	$348.95	$671.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $514.58 / $704.28 / $1,126.83	Facility		$514.58	$704.28	$1,126.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $684.00 / $736.23	Professional		$526.98	$684.00	$736.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.55 / $389.55 / $1,897.11	Facility		$389.55	$389.55	$1,897.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.98 / $588.98 / $588.98	Professional		$588.98	$588.98	$588.98
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $594.15	Professional		$516.65	$516.65	$594.15