Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $67.95	Facility		$28.88	$28.88	$67.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.20 / $78.52	Professional		$28.20	$28.20	$78.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $40.33 / $60.63	Facility		$28.20	$40.33	$60.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $79,999.20 / $79,999.20	Facility		$44.94	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $37.38 / $60.63	Facility		$29.54	$37.38	$60.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $35.40 / $46.91	Professional		$28.88	$35.40	$46.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $48.03 / $109.64	Facility		$29.98	$48.03	$109.64
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $28.32	Professional		$28.32	$28.32	$28.32