Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $7.52	Facility		$3.20	$3.20	$7.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.12 / $3.20	Professional		$3.12	$3.12	$3.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $6.40 / $6.40	Facility		$6.40	$6.40	$6.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $4.46 / $6.71	Facility		$3.12	$4.46	$6.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $79,999.20 / $79,999.20	Facility		$8.52	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $4.13 / $6.71	Facility		$3.26	$4.13	$6.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.91 / $3.91	Professional		$3.20	$3.91	$3.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $4.50 / $10.30	Facility		$3.26	$4.50	$10.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13