Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $156.65 / $218.06	Facility		$71.33	$156.65	$218.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $69.65 / $151.63	Professional		$69.65	$69.65	$151.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.64 / $250.64 / $250.64	Facility		$250.64	$250.64	$250.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $99.60 / $149.75	Facility		$69.65	$99.60	$149.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.43 / $169.51 / $325.98	Professional		$143.43	$169.51	$325.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $355.68 / $79,999.20 / $79,999.20	Facility		$355.68	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $138.13 / $271.10	Facility		$58.34	$138.13	$271.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $58.34 / $169.44	Professional		$47.60	$58.34	$169.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $248.16 / $393.17 / $834.95	Facility		$248.16	$393.17	$834.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $44.20 / $44.20	Professional		$44.20	$44.20	$44.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67