Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $20.43 / $48.06	Facility		$20.43	$20.43	$48.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $19.94 / $20.43	Professional		$19.94	$19.94	$20.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $40.86 / $40.86	Facility		$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Professional		$20.43	$20.43	$20.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $28.51 / $42.87	Facility		$19.94	$28.51	$42.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $25.97 / $49.95	Professional		$21.98	$25.97	$49.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $79,999.20 / $79,999.20	Facility		$23.19	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $28.51 / $56.51	Facility		$19.94	$28.51	$56.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $23.86 / $25.03	Professional		$20.43	$23.86	$25.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $29.28 / $66.22	Facility		$17.39	$29.28	$66.22