Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $199.53	Professional		$162.18	$194.98	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $223.87	Professional		$208.93	$208.93	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $257.04	Facility		$147.91	$147.91	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $218.78	Professional		$147.91	$147.91	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $151.36 / $223.87	Facility		$147.91	$151.36	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $281.84 / $416.87	Facility		$257.04	$281.84	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $234.42	Professional		$79.43	$208.93	$234.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $229.09 / $436.52	Facility		$104.71	$229.09	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42