Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $1,698.24	Facility		$707.95	$724.44	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $724.44	Professional		$676.08	$707.95	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $1,023.29	Facility		$138.04	$138.04	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $724.44	Professional		$134.90	$138.04	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $707.95 / $794.33	Facility		$309.03	$707.95	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $2,089.30	Facility		$707.95	$933.25	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $758.58	Professional		$79.43	$758.58	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $1,258.93	Facility		$389.05	$575.44	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $741.31 / $741.31	Professional		$707.95	$741.31	$741.31