Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $300.00	Facility		$127.50	$127.50	$300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $124.50 / $127.50	Professional		$124.50	$124.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $178.04 / $267.68	Facility		$124.50	$178.04	$267.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.52 / $170.79 / $328.45	Professional		$144.52	$170.79	$328.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.08 / $79,999.20 / $79,999.20	Facility		$132.08	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.38 / $165.00 / $267.68	Facility		$130.38	$165.00	$267.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $156.25 / $156.25	Professional		$127.50	$156.25	$156.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.85 / $291.50 / $725.84	Facility		$154.85	$291.50	$725.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00