Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $1,870.18	Facility		$794.83	$794.83	$1,870.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.12 / $776.12 / $794.83	Professional		$776.12	$776.12	$794.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,589.66 / $1,589.66 / $1,589.66	Facility		$1,589.66	$1,589.66	$1,589.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.12 / $1,109.84 / $1,668.66	Facility		$776.12	$1,109.84	$1,668.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $922.79 / $79,999.20 / $79,999.20	Facility		$922.79	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.75 / $1,109.84 / $2,217.84	Facility		$812.75	$1,109.84	$2,217.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $936.59 / $974.05	Professional		$794.83	$936.59	$974.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $717.21 / $1,203.08 / $2,720.78	Facility		$717.21	$1,203.08	$2,720.78