Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $63.32 / $91.23	Facility		$63.32	$63.32	$91.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $68.43 / $68.43	Professional		$24.56	$68.43	$68.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $72.98 / $136.86	Facility		$27.37	$72.98	$136.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $26.27 / $64.42	Professional		$20.38	$26.27	$64.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $68.43 / $75.27	Facility		$42.21	$68.43	$75.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $42.11	Professional		$35.09	$35.09	$42.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $31.58 / $68.43	Professional		$26.84	$31.58	$68.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $78.95 / $129.13	Facility		$52.64	$78.95	$129.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $61.48 / $68.70	Professional		$60.53	$61.48	$68.70
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.05 / $76.42	Professional		$14.74	$20.05	$76.42