Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $66.56	Facility		$62.62	$62.62	$66.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $80.00 / $180.80	Professional		$64.70	$80.00	$180.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $140.72 / $140.72	Facility		$140.72	$140.72	$140.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Professional		$70.36	$70.36	$70.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $95.18 / $143.10	Facility		$66.56	$95.18	$143.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $62.82 / $62.82	Professional		$62.82	$62.82	$62.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $56.56 / $57.00	Facility		$25.00	$56.56	$57.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $95.18 / $180.80	Facility		$65.33	$95.18	$180.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $70.36 / $76.34	Professional		$67.19	$70.36	$76.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.20 / $69.20	Professional		$69.20	$69.20	$69.20
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $76.44 / $76.44	Professional		$71.98	$76.44	$76.44