Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $602.56	Facility		$234.42	$234.42	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $602.56	Professional		$371.54	$426.58	$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 $302.00 / $426.58 / $851.14	Facility		$302.00	$426.58	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $602.56	Professional		$398.11	$426.58	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $933.25 / $933.25	Facility		$309.03	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $457.09 / $870.96	Facility		$302.00	$457.09	$870.96
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 $851.14 / $1,258.93 / $1,584.89	Facility		$851.14	$1,258.93	$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