Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $3.72 / $691.83	Facility		$1.58	$3.72	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.58	Professional		$1.00	$1.00	$1.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.31 / $691.83	Facility		$1.86	$3.31	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Facility		$1.82	$1.82	$1.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $2.24 / $4.17	Facility		$1.55	$2.24	$4.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $79.43	Professional		$1.58	$1.58	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $2.57 / $3.47	Facility		$1.17	$2.57	$3.47
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.55 / $1.55	Professional		$1.55	$1.55	$1.55