Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.17 / $118.17 / $281.36	Facility		$118.17	$118.17	$281.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $116.76 / $118.17	Professional		$115.39	$116.76	$118.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.34 / $236.34 / $236.34	Facility		$236.34	$236.34	$236.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.76 / $166.97 / $251.03	Facility		$116.76	$166.97	$251.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $156.47 / $156.47	Professional		$156.47	$156.47	$156.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.83 / $166.97 / $328.12	Facility		$120.83	$166.97	$328.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $129.60 / $144.81	Professional		$119.58	$129.60	$144.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.62 / $121.49 / $455.93	Facility		$93.62	$121.49	$455.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $134.83	Professional		$117.24	$117.24	$134.83