Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.97 / $87.50 / $111.44	Facility		$42.97	$87.50	$111.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $27.78 / $42.97	Professional		$17.41	$27.78	$42.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $19.63 / $72.23	Facility		$18.05	$19.63	$72.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $21.06 / $26.33	Professional		$11.41	$21.06	$26.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $34.31 / $57.00	Facility		$15.29	$34.31	$57.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $22.22	Professional		$18.52	$18.52	$22.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Professional		$18.52	$18.52	$18.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $40.03 / $66.67	Facility		$27.78	$40.03	$66.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $32.01 / $32.79	Professional		$15.74	$32.01	$32.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.02 / $30.48	Professional		$7.78	$11.02	$30.48