Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.34 / $168.34 / $168.34	Professional		$168.34	$168.34	$168.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.80 / $344.80 / $344.80	Facility		$344.80	$344.80	$344.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.34 / $223.10 / $361.93	Facility		$168.34	$223.10	$361.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $223.89 / $430.55	Professional		$189.44	$223.89	$430.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.68 / $250.48 / $578.04	Facility		$192.68	$250.48	$578.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.34 / $227.03 / $361.93	Facility		$168.34	$227.03	$361.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $218.23 / $244.41	Professional		$172.40	$218.23	$244.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.59 / $227.39 / $575.09	Facility		$151.59	$227.39	$575.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.68 / $192.68 / $192.68	Professional		$192.68	$192.68	$192.68
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $233.24	Professional		$202.82	$202.82	$233.24