Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,041.74 / $3,019.95	Facility		$851.14	$2,041.74	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $954.99	Professional		$512.86	$512.86	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $851.14 / $2,754.23	Facility		$512.86	$851.14	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,071.52	Professional		$512.86	$512.86	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,949.84 / $1,949.84	Facility		$416.87	$1,949.84	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $1,096.48	Facility		$512.86	$602.56	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $707.95	Professional		$79.43	$707.95	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,162.28	Facility		$1,905.46	$2,511.89	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $3,890.45	Facility		$2,398.83	$2,951.21	$3,890.45