Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $602.56	Facility		$218.78	$218.78	$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 $263.03 / $263.03 / $645.65	Facility		$263.03	$263.03	$645.65
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 $173.78 / $588.84 / $588.84	Facility		$173.78	$588.84	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $831.76	Facility		$302.00	$446.68	$831.76
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 $630.96 / $794.33 / $1,000.00	Facility		$630.96	$794.33	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,174.90	Facility		$724.44	$891.25	$1,174.90