Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.68 / $198.68 / $198.68	Facility		$198.68	$198.68	$198.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.23 / $223.86 / $304.19	Facility		$97.23	$223.86	$304.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $48.27 / $48.27	Facility		$48.27	$48.27	$48.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $47.26 / $47.26	Professional		$47.26	$47.26	$47.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $220.00 / $330.79	Facility		$86.58	$220.00	$330.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $190.12 / $304.19	Facility		$48.27	$190.12	$304.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $281.32 / $339.89	Facility		$201.89	$281.32	$339.89