Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.73 / $95.73 / $95.73	Facility		$95.73	$95.73	$95.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $45.43 / $49.86	Professional		$36.97	$45.43	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $64.15 / $70.39	Professional		$64.15	$64.15	$70.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $45.43 / $63.82	Facility		$37.32	$45.43	$63.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $101.95	Professional		$101.95	$101.95	$101.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $82.68 / $95.08	Facility		$62.01	$82.68	$95.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $60.70 / $63.85	Professional		$51.60	$60.70	$63.85
United Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $41.04 / $73.45	Professional		$26.83	$41.04	$73.45