Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $11,802.80 / $11,802.80	Facility		$981.75	$11,802.80	$11,802.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.65 / $958.65 / $997.37	Professional		$958.65	$958.65	$997.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,963.50 / $1,963.50 / $1,963.50	Facility		$1,963.50	$1,963.50	$1,963.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $958.65 / $1,270.50 / $2,061.10	Facility		$958.65	$1,270.50	$2,061.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $773.63 / $773.63 / $1,487.75	Professional		$773.63	$773.63	$1,487.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,097.25 / $1,097.25 / $79,999.20	Facility		$1,097.25	$1,097.25	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.65 / $1,371.56 / $2,194.50	Facility		$958.65	$1,371.56	$2,194.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $1,316.70 / $1,371.56	Professional		$981.75	$1,316.70	$1,371.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $944.71 / $1,417.07 / $3,141.70	Facility		$944.71	$1,417.07	$3,141.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,097.25 / $1,097.25 / $1,097.25	Professional		$1,097.25	$1,097.25	$1,097.25
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,106.88	Professional		$962.50	$962.50	$1,106.88