Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.36 / $35.49	Professional		$19.35	$19.36	$35.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.80 / $42.80 / $42.80	Facility		$42.80	$42.80	$42.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $27.68 / $41.62	Facility		$19.36	$27.68	$41.62
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 $21.64 / $21.64 / $28.89	Facility		$21.64	$21.64	$28.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $27.68 / $56.57	Facility		$19.36	$27.68	$56.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $21.40 / $28.98	Professional		$21.02	$21.40	$28.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $45.96 / $87.34	Facility		$34.36	$45.96	$87.34
United Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $27.34 / $27.34	Professional		$22.78	$27.34	$27.34