Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $58.88 / $58.88	Facility		$57.54	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $4,265.80	Professional		$54.95	$57.54	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $123.03	Facility		$60.26	$100.00	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $100.00	Professional		$56.23	$57.54	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $186.21	Facility		$57.54	$75.86	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $79.43	Professional		$61.66	$61.66	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $323.59	Facility		$66.07	$66.07	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $120.23	Facility		$50.12	$50.12	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $72.44	Professional		$60.26	$60.26	$72.44