Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $776.25 / $776.25	Facility		$758.58	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $812.83	Professional		$741.31	$758.58	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,148.15	Facility		$602.56	$912.01	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $912.01	Professional		$602.56	$776.25	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $891.25 / $954.99	Facility		$1.00	$891.25	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,570.40	Facility		$758.58	$1,096.48	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,096.48	Professional		$79.43	$812.83	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $676.08 / $2,041.74	Facility		$0.98	$676.08	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,096.48	Facility		$457.09	$457.09	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Professional		$794.33	$794.33	$954.99