Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $108.75 / $121.57	Facility		$25.83	$108.75	$121.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $36.64 / $36.64	Professional		$13.15	$36.64	$36.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $19.89 / $73.26	Facility		$18.32	$19.89	$73.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $21.48 / $26.85	Professional		$11.56	$21.48	$26.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $32.83 / $38.84	Facility		$17.66	$32.83	$38.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.79 / $22.55	Professional		$18.79	$18.79	$22.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.79 / $18.79	Professional		$18.79	$18.79	$18.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $42.28 / $69.15	Facility		$28.19	$42.28	$69.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $32.01 / $32.79	Professional		$15.97	$32.01	$32.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $11.18 / $30.94	Professional		$7.89	$11.18	$30.94