Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $34.28 / $54.93	Facility		$21.92	$34.28	$54.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $20.48 / $37.89	Professional		$18.67	$20.48	$37.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.30 / $41.30 / $41.30	Facility		$41.30	$41.30	$41.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $26.71 / $40.15	Facility		$18.68	$26.71	$40.15
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 $20.88 / $20.88 / $33.40	Facility		$20.88	$20.88	$33.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $26.71 / $54.58	Facility		$18.68	$26.71	$54.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $21.98 / $51.00	Professional		$20.28	$21.98	$51.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $61.86 / $82.33	Facility		$30.06	$61.86	$82.33
United Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $25.06 / $25.06	Professional		$21.98	$25.06	$25.06