Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $96.69 / $135.56	Facility		$50.13	$96.69	$135.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $63.19	Professional		$42.13	$42.13	$63.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.28 / $164.28 / $164.28	Facility		$164.28	$164.28	$164.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $48.40 / $60.50	Professional		$19.62	$48.40	$60.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $53.93	Facility		$42.13	$42.13	$53.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $44.24 / $50.56	Professional		$42.13	$44.24	$50.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $84.26 / $151.66	Facility		$63.20	$84.26	$151.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $72.17 / $74.36	Professional		$35.81	$72.17	$74.36
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $50.56	Professional		$17.69	$17.69	$50.56