Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.97 / $123.97 / $123.97	Facility		$123.97	$123.97	$123.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $64.56 / $70.81	Professional		$45.17	$64.56	$70.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $101.48 / $101.48	Professional		$101.48	$101.48	$101.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.59 / $62.45 / $82.65	Facility		$56.59	$62.45	$82.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $73.34 / $73.34	Professional		$73.34	$73.34	$73.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.89 / $110.02	Professional		$30.00	$50.89	$110.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $96.02 / $100.49	Professional		$81.62	$96.02	$100.49
United Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $72.95 / $130.56	Professional		$65.34	$72.95	$130.56