Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $178.80	Facility		$75.98	$75.98	$178.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $74.20 / $75.98	Professional		$74.20	$74.20	$75.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $106.11 / $159.53	Facility		$74.20	$106.11	$159.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $79,999.20 / $79,999.20	Facility		$71.06	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $98.34 / $159.53	Facility		$77.70	$98.34	$159.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $93.13 / $93.13	Professional		$75.98	$93.13	$93.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.91 / $115.37 / $264.39	Facility		$76.91	$115.37	$264.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50