Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $48.98 / $48.98	Facility		$19.95	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $19.95	Professional		$19.05	$19.95	$19.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $43.65	Facility		$28.84	$28.84	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $19.95	Professional		$19.05	$19.95	$19.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.99 / $42.66	Facility		$20.89	$23.99	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.92 / $57.54	Facility		$19.95	$26.92	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $70.79 / $79.43	Professional		$24.55	$70.79	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $27.54 / $47.86	Facility		$16.22	$27.54	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50