Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $37.00 / $87.06	Facility		$37.00	$37.00	$87.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $36.13 / $37.00	Professional		$36.13	$36.13	$37.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $67.30 / $67.30	Facility		$67.30	$67.30	$67.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.13 / $51.67 / $77.68	Facility		$36.13	$51.67	$77.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $42.60 / $81.93	Professional		$36.04	$42.60	$81.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $89.00 / $79,999.20	Facility		$34.97	$89.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.13 / $51.67 / $77.68	Facility		$36.13	$51.67	$77.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $40.71 / $41.24	Professional		$37.50	$40.71	$41.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $48.61 / $109.93	Facility		$30.85	$48.61	$109.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Professional		$40.70	$40.70	$40.70
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $47.88	Professional		$39.90	$39.90	$47.88