Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $144.54 / $144.54	Facility		$14.13	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $144.54	Professional		$14.13	$14.13	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.49 / $144.54	Facility		$14.79	$15.49	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $72.44 / $138.04	Professional		$14.13	$72.44	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $194.98 / $194.98	Facility		$75.86	$194.98	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.49 / $144.54	Facility		$14.79	$15.49	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $354.81	Facility		$234.42	$302.00	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $426.58	Facility		$263.03	$323.59	$426.58