Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $57.96	Facility		$24.63	$24.63	$57.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $24.05 / $24.63	Professional		$24.05	$24.05	$24.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $49.26 / $49.26	Facility		$49.26	$49.26	$49.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $34.39 / $51.71	Facility		$24.05	$34.39	$51.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $32.57 / $62.63	Professional		$27.56	$32.57	$62.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $79,999.20 / $79,999.20	Facility		$14.99	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $34.39 / $65.03	Facility		$24.05	$34.39	$65.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $27.46 / $30.19	Professional		$24.63	$27.46	$30.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $28.98 / $67.16	Facility		$19.32	$28.98	$67.16
United Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $51.35 / $60.12	Facility		$51.35	$51.35	$60.12