Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $24.55 / $57.54	Facility		$23.99	$24.55	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $23.99	Professional		$22.91	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $51.29	Facility		$32.36	$32.36	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $32.36	Professional		$22.91	$23.99	$32.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $26.92 / $33.11	Facility		$23.99	$26.92	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $34.67 / $70.79	Facility		$23.99	$34.67	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $79.43	Professional		$26.92	$26.92	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.90 / $67.61	Facility		$19.50	$30.90	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $60.26	Facility		$25.12	$25.12	$60.26