Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $53.57 / $77.17	Facility		$53.57	$53.57	$77.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $57.88 / $57.88	Professional		$20.78	$57.88	$57.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $31.44 / $115.74	Facility		$28.94	$31.44	$115.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $34.28 / $42.85	Professional		$18.25	$34.28	$42.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $51.84 / $60.77	Facility		$27.90	$51.84	$60.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $29.68 / $35.61	Professional		$29.68	$29.68	$35.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $29.68 / $29.68	Professional		$29.68	$29.68	$29.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $66.78 / $109.22	Facility		$44.52	$66.78	$109.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $51.22 / $52.11	Professional		$25.23	$51.22	$52.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $17.66 / $48.85	Professional		$12.47	$17.66	$48.85