Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $29.04	Facility		$12.34	$12.34	$29.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $12.34	Professional		$12.05	$12.05	$12.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.68 / $24.68 / $24.68	Facility		$24.68	$24.68	$24.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $17.23 / $25.91	Facility		$12.05	$17.23	$25.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $15.25	Professional		$15.25	$15.25	$15.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $79,999.20 / $79,999.20	Facility		$17.77	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $17.23 / $34.45	Facility		$12.62	$17.23	$34.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $13.23 / $15.13	Professional		$12.34	$13.23	$15.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $14.51 / $47.09	Facility		$9.67	$14.51	$47.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $12.10	Professional		$12.10	$12.10	$12.10