Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $44.67	Professional		$23.99	$26.92	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.48 / $53.70	Facility		$25.12	$35.48	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.54 / $50.12	Professional		$23.99	$27.54	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.48 / $72.44	Facility		$25.12	$35.48	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $60.26 / $79.43	Professional		$27.54	$60.26	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $70.79 / $109.65	Facility		$43.65	$70.79	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $31.62 / $33.11	Professional		$29.51	$31.62	$33.11