Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $33.99 / $33.99	Facility		$33.99	$33.99	$33.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $32.36 / $54.64	Professional		$28.96	$32.36	$54.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $63.88 / $63.88	Facility		$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $41.43 / $62.29	Facility		$28.97	$41.43	$62.29
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 $25.00 / $32.36 / $32.36	Facility		$25.00	$32.36	$32.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $41.43 / $84.42	Facility		$28.97	$41.43	$84.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $31.94 / $78.70	Professional		$31.37	$31.94	$78.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $92.81 / $126.76	Facility		$45.42	$92.81	$126.76
United Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $38.86 / $38.86	Professional		$34.08	$38.86	$38.86