Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $106.96	Facility		$45.46	$45.46	$106.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $44.39 / $45.46	Professional		$44.39	$44.39	$45.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.92 / $90.92 / $90.92	Facility		$90.92	$90.92	$90.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Professional		$45.46	$45.46	$45.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $63.48 / $95.44	Facility		$44.39	$63.48	$95.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.43 / $79,999.20 / $79,999.20	Facility		$49.43	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $55.71 / $95.44	Facility		$44.39	$55.71	$95.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $55.71 / $55.71	Professional		$45.46	$55.71	$55.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $75.58 / $152.96	Facility		$42.17	$75.58	$152.96