Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $66.37 / $105.51	Facility		$37.60	$66.37	$105.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $35.00 / $55.00	Professional		$30.57	$35.00	$55.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $67.42 / $67.42	Facility		$67.42	$67.42	$67.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Professional		$33.71	$33.71	$33.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $43.72 / $65.73	Facility		$30.57	$43.72	$65.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $18,772.80 / $65,599.34	Professional		$23.28	$18,772.80	$65,599.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $34.17 / $54.67	Facility		$25.00	$34.17	$54.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $43.72 / $89.10	Facility		$30.57	$43.72	$89.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.71 / $82.68	Professional		$33.11	$33.71	$82.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $97.95 / $134.61	Facility		$47.86	$97.95	$134.61
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $38.61 / $41.00	Professional		$35.97	$38.61	$41.00