Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $30.20 / $30.20	Professional		$7.94	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $32.36	Facility		$30.90	$30.90	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $30.20 / $331.13	Professional		$7.94	$30.20	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $234.42	Facility		$141.25	$141.25	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $30.90 / $42.66	Facility		$7.94	$30.90	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $79.43	Professional		$40.74	$40.74	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $21.38	Professional		$19.95	$21.38	$21.38