Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $52.03 / $74.95	Facility		$52.03	$52.03	$74.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $56.22 / $56.22	Professional		$20.18	$56.22	$56.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $30.55 / $112.44	Facility		$28.11	$30.55	$112.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $33.04 / $41.30	Professional		$17.64	$33.04	$41.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $50.36 / $59.03	Facility		$27.10	$50.36	$59.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.83 / $34.60	Professional		$28.83	$28.83	$34.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.83 / $28.83	Professional		$28.83	$28.83	$28.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $64.87 / $106.09	Facility		$43.25	$64.87	$106.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $49.47 / $50.94	Professional		$24.51	$49.47	$50.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $17.30 / $47.46	Professional		$12.11	$17.30	$47.46