Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $129.36 / $143.68	Facility		$64.83	$129.36	$143.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $54.48 / $54.48	Professional		$19.55	$54.48	$54.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.24 / $29.60 / $108.96	Facility		$27.24	$29.60	$108.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $31.80 / $39.75	Professional		$12.17	$31.80	$39.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $54.48 / $77.91	Facility		$26.26	$54.48	$77.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $27.94 / $33.53	Professional		$27.94	$27.94	$33.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $27.94 / $27.94	Professional		$27.94	$27.94	$27.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $60.07 / $100.58	Facility		$41.91	$60.07	$100.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $47.72 / $49.18	Professional		$23.75	$47.72	$49.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $33.53	Professional		$11.73	$11.73	$33.53