Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.49 / $75.61	Facility		$52.49	$52.49	$75.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $56.71 / $56.71	Professional		$20.36	$56.71	$56.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.35 / $30.81 / $113.40	Facility		$28.35	$30.81	$113.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $33.45 / $41.82	Professional		$15.36	$33.45	$41.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $43.76 / $59.55	Facility		$27.34	$43.76	$59.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $29.08 / $34.90	Professional		$29.08	$29.08	$34.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $29.08 / $29.08	Professional		$29.08	$29.08	$29.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $65.43 / $107.01	Facility		$43.62	$65.43	$107.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $50.05 / $50.94	Professional		$24.72	$50.05	$50.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $14.91 / $51.29	Professional		$12.21	$14.91	$51.29