Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $82.37 / $211.94	Facility		$52.36	$82.37	$211.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $71.68 / $128.96	Professional		$67.20	$71.68	$128.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.28 / $152.28 / $152.28	Facility		$152.28	$152.28	$152.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $98.98 / $148.82	Facility		$69.22	$98.98	$148.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116,998.83 / $116,998.83 / $116,998.83	Professional		$116,998.83	$116,998.83	$116,998.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $77.36 / $77.36	Facility		$77.36	$77.36	$77.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $98.98 / $201.22	Facility		$69.22	$98.98	$201.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $76.14 / $187.62	Professional		$74.78	$76.14	$187.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $232.54 / $303.20	Facility		$131.88	$232.54	$303.20
United Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
United Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $87.42 / $92.83	Professional		$81.43	$87.42	$92.83