Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $173.78 / $173.78	Facility		$169.82	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $173.78	Professional		$162.18	$169.82	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $426.58	Facility		$169.82	$263.03	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $346.74	Professional		$162.18	$173.78	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $398.11	Facility		$190.55	$251.19	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $389.05	Facility		$165.96	$223.87	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $239.88	Professional		$79.43	$181.97	$239.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $263.03 / $512.86	Facility		$151.36	$263.03	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $416.87	Facility		$173.78	$173.78	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $245.47	Professional		$204.17	$204.17	$245.47