Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $283.20	Facility		$120.36	$120.36	$283.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $117.53 / $120.36	Professional		$117.53	$117.53	$120.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.72 / $240.72 / $240.72	Facility		$240.72	$240.72	$240.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $168.07 / $252.69	Facility		$117.53	$168.07	$252.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $125.98 / $242.28	Professional		$125.98	$125.98	$242.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.50 / $79,999.20 / $79,999.20	Facility		$156.50	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.07 / $155.76 / $252.69	Facility		$123.07	$155.76	$252.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $147.50 / $147.50	Professional		$120.36	$147.50	$147.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.35 / $133.05 / $547.14	Facility		$112.35	$133.05	$547.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00