Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $337.20	Facility		$143.31	$143.31	$337.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $139.94 / $143.31	Professional		$139.94	$139.94	$143.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.62 / $286.62 / $286.62	Facility		$286.62	$286.62	$286.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $200.11 / $300.87	Facility		$139.94	$200.11	$300.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $79,999.20 / $79,999.20	Facility		$111.15	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.54 / $185.46 / $300.87	Facility		$146.54	$185.46	$300.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $175.63 / $175.63	Professional		$143.31	$175.63	$175.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.80 / $155.03 / $503.31	Facility		$131.80	$155.03	$503.31
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $140.50	Professional		$140.50	$140.50	$140.50