Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $651.84	Facility		$277.02	$277.02	$651.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.51 / $270.51 / $277.02	Professional		$270.51	$270.51	$277.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.05 / $554.05 / $554.05	Facility		$554.05	$554.05	$554.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $270.51 / $386.83 / $581.60	Facility		$270.51	$386.83	$581.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.91 / $363.91 / $363.91	Professional		$363.91	$363.91	$363.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $334.47 / $79,999.20 / $79,999.20	Facility		$334.47	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.60 / $303.26 / $512.00	Facility		$281.60	$303.26	$512.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $320.00 / $339.50	Professional		$277.02	$320.00	$339.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $218.77 / $284.37 / $1,065.41	Facility		$218.77	$284.37	$1,065.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $312.33	Professional		$271.60	$271.60	$312.33