Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $794.33 / $794.33	Facility		$776.25	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $794.33	Professional		$741.31	$776.25	$794.33
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 $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,380.38	Facility		$707.95	$1,096.48	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $1,096.48	Professional		$707.95	$794.33	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,348.96	Facility		$389.05	$389.05	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $1,202.26	Facility		$776.25	$933.25	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $794.33	Professional		$79.43	$794.33	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $2,630.27	Facility		$741.31	$1,479.11	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,318.26	Facility		$549.54	$549.54	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $933.25	Professional		$776.25	$776.25	$933.25