Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,344.23 / $2,344.23	Facility		$977.24	$2,344.23	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,000.00	Professional		$812.83	$977.24	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,148.15	Professional		$1,047.13	$1,047.13	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,137.96	Facility		$977.24	$1,412.54	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $977.24 / $1,000.00	Professional		$954.99	$977.24	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,348.96 / $1,584.89	Facility		$245.47	$1,348.96	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,089.30	Facility		$977.24	$1,318.26	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,174.90	Professional		$79.43	$1,047.13	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,023.29 / $2,511.89	Facility		$138.04	$1,023.29	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90