Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $249.95 / $2,740.07	Facility		$47.24	$249.95	$2,740.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $39.70 / $63.53	Professional		$15.57	$39.70	$63.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $42.46 / $66.02	Professional		$24.93	$42.46	$66.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $41.43 / $64.83	Facility		$25.82	$41.43	$64.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $63.51 / $76.98	Professional		$39.50	$63.51	$76.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.00	Professional		$32.34	$32.34	$62.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $52.17 / $74.16	Professional		$38.36	$52.17	$74.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $53.55 / $71.41	Professional		$42.00	$53.55	$71.41