Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $933.25 / $1,380.38	Facility		$389.05	$933.25	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $446.68	Professional		$316.23	$316.23	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $354.81 / $933.25	Facility		$316.23	$354.81	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $446.68	Professional		$316.23	$316.23	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $208.93	Facility		$138.04	$194.98	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $346.74 / $562.34	Facility		$316.23	$346.74	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $79.43	Professional		$30.90	$30.90	$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