Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $1,225.20	Facility		$520.71	$520.71	$1,225.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.46 / $508.46 / $520.71	Professional		$508.46	$508.46	$520.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,041.42 / $1,041.42 / $1,041.42	Facility		$1,041.42	$1,041.42	$1,041.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.46 / $727.10 / $1,093.19	Facility		$508.46	$727.10	$1,093.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $701.88 / $1,349.78	Professional		$701.88	$701.88	$1,349.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $811.70 / $79,999.20 / $79,999.20	Facility		$811.70	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.54 / $587.08 / $727.10	Facility		$561.54	$587.08	$727.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $638.13 / $638.13	Professional		$520.71	$638.13	$638.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $591.59 / $1,587.56	Facility		$520.71	$591.59	$1,587.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $612.60	Professional		$510.50	$510.50	$612.60