Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $29.18 / $29.18	Facility		$29.18	$29.18	$29.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $27.79 / $54.40	Professional		$24.85	$27.79	$54.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.88 / $54.88 / $54.88	Facility		$54.88	$54.88	$54.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $35.54 / $53.45	Facility		$24.86	$35.54	$53.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $55,799.44 / $116,998.83	Professional		$13,910.16	$55,799.44	$116,998.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $27.79 / $44.46	Facility		$25.00	$27.79	$44.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $35.54 / $72.52	Facility		$24.86	$35.54	$72.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $27.44 / $67.58	Professional		$26.95	$27.44	$67.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $84.91 / $108.47	Facility		$45.42	$84.91	$108.47
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $31.40 / $33.35	Professional		$27.79	$31.40	$33.35