Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $51.04 / $227.75	Facility		$23.79	$51.04	$227.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.98 / $58.56	Professional		$20.00	$27.98	$58.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $44.20 / $44.20	Facility		$44.20	$44.20	$44.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $28.60 / $43.00	Facility		$20.00	$28.60	$43.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $18,772.80 / $65,599.34	Professional		$19.25	$18,772.80	$65,599.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $22.35 / $35.76	Facility		$22.35	$22.35	$35.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $28.60 / $58.40	Facility		$20.00	$28.60	$58.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.53 / $54.06	Professional		$21.70	$23.53	$54.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $64.97 / $87.55	Facility		$32.53	$64.97	$87.55
United Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $25.26 / $26.82	Professional		$23.53	$25.26	$26.82