Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $32.74	Facility		$13.91	$13.91	$32.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $13.59 / $13.91	Professional		$13.59	$13.59	$13.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $27.82 / $27.82	Facility		$27.82	$27.82	$27.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $19.43 / $29.22	Facility		$13.59	$19.43	$29.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $79,999.20 / $79,999.20	Facility		$18.18	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $18.01 / $29.22	Facility		$14.23	$18.01	$29.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $17.05 / $17.05	Professional		$13.91	$17.05	$17.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $18.18 / $40.00	Facility		$13.79	$18.18	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $13.64	Professional		$13.64	$13.64	$13.64