Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $93.33 / $112.20	Facility		$38.02	$93.33	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $54.95	Professional		$30.20	$33.88	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $66.07 / $112.20	Facility		$38.02	$66.07	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $54.95	Professional		$30.20	$33.88	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $43.65 / $89.13	Facility		$30.90	$43.65	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $79.43	Professional		$33.88	$33.88	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $66.07 / $134.90	Facility		$47.86	$66.07	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $40.74	Professional		$36.31	$38.90	$40.74