Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $22.91 / $22.91	Professional		$7.94	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $25.12 / $47.86	Facility		$23.44	$25.12	$47.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $22.91 / $331.13	Professional		$8.51	$22.91	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $186.21 / $186.21	Facility		$162.18	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $23.44 / $32.36	Facility		$7.94	$23.44	$32.36
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 Professional Modifier Low / Median / High Price $16.60 / $17.38 / $17.38	Professional		$16.60	$17.38	$17.38