Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $602.56	Facility		$416.87	$416.87	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $602.56	Professional		$316.23	$371.54	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,023.29	Facility		$426.58	$426.58	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $794.33	Facility		$316.23	$426.58	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $602.56	Professional		$316.23	$416.87	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $933.25 / $933.25	Facility		$363.08	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $912.01	Facility		$316.23	$478.63	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,584.89	Facility		$1,000.00	$1,412.54	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,737.80	Facility		$1,047.13	$1,318.26	$1,737.80