Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.09 / $766.09 / $965.27	Professional		$766.09	$766.09	$965.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,569.10 / $1,569.10 / $1,569.10	Facility		$1,569.10	$1,569.10	$1,569.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $766.09 / $1,015.30 / $1,647.09	Facility		$766.09	$1,015.30	$1,647.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $648.27 / $648.27 / $1,246.68	Professional		$648.27	$648.27	$1,246.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $897.61 / $79,999.20 / $79,999.20	Facility		$897.61	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.09 / $1,095.51 / $1,753.70	Facility		$766.09	$1,095.51	$1,753.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $996.86 / $1,252.06	Professional		$784.55	$996.86	$1,252.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1,015.62 / $2,093.84	Facility		$0.98	$1,015.62	$2,093.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $876.85 / $876.85 / $876.85	Professional		$876.85	$876.85	$876.85
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $884.55	Professional		$769.17	$769.17	$884.55