Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $10,964.78 / $32,359.37	Facility		$676.08	$10,964.78	$32,359.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $10,232.93	Professional		$676.08	$776.25	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $8,912.51 / $32,359.37	Facility		$676.08	$8,912.51	$32,359.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $13,489.63	Professional		$676.08	$776.25	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $26,915.35 / $26,915.35	Facility		$10,471.29	$26,915.35	$26,915.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $758.58 / $12,302.69	Facility		$676.08	$758.58	$12,302.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $134.90	Professional		$79.43	$134.90	$134.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $36,307.81 / $45,708.82	Facility		$28,183.83	$36,307.81	$45,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $34,673.69 / $66,069.34	Facility		$11,748.98	$34,673.69	$66,069.34