Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $1,705.34	Facility		$724.77	$724.77	$1,705.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.72 / $707.72 / $724.77	Professional		$707.72	$707.72	$724.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,449.54 / $1,449.54 / $1,449.54	Facility		$1,449.54	$1,449.54	$1,449.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.22 / $937.94 / $1,521.60	Facility		$289.22	$937.94	$1,521.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $137.19 / $310.77	Professional		$134.47	$137.19	$310.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $548.84 / $79,999.20 / $79,999.20	Facility		$548.84	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $642.59 / $1,012.04 / $1,567.38	Facility		$642.59	$1,012.04	$1,567.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $642.59 / $661.90 / $888.20	Professional		$642.59	$661.90	$888.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.20 / $588.04 / $1,268.18	Facility		$389.20	$588.04	$1,268.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
United Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $710.56	Professional		$710.56	$710.56	$710.56