Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.47 / $3.47	Facility		$3.02	$3.47	$3.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $42.66	Professional		$3.02	$3.02	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $7.41	Facility		$3.47	$3.47	$7.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $100.00	Professional		$3.02	$3.02	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $186.21 / $186.21	Facility		$74.13	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $5.37	Facility		$3.47	$3.47	$5.37
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 $194.98 / $275.42 / $331.13	Facility		$194.98	$275.42	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $234.42 / $309.03	Facility		$190.55	$234.42	$309.03