Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.60 / $1,928.50 / $4,147.38	Facility		$1,226.60	$1,928.50	$4,147.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.70 / $1,388.00 / $3,734.25	Professional		$1,101.70	$1,388.00	$3,734.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,477.86 / $2,477.86 / $2,477.86	Facility		$2,477.86	$2,477.86	$2,477.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,736.92 / $2,611.44	Facility		$1,214.63	$1,736.92	$2,611.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $2,575.02 / $17,728.12	Professional		$1,214.63	$2,575.02	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,736.92 / $3,424.10	Facility		$1,214.63	$1,736.92	$3,424.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,377.13 / $1,518.29	Professional		$1,238.93	$1,377.13	$1,518.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63