Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $100.00 / $308.00	Facility		$76.00	$100.00	$308.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $51.24 / $83.54	Professional		$40.27	$51.24	$83.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $89.12 / $167.10	Facility		$33.42	$89.12	$167.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $31.99 / $78.73	Professional		$26.31	$31.99	$78.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.26 / $83.54 / $95.26	Facility		$64.26	$83.54	$95.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $43.70 / $53.55	Professional		$42.84	$43.70	$53.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $32.78 / $38.56	Professional		$32.78	$32.78	$38.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.26 / $96.39 / $157.65	Facility		$64.26	$96.39	$157.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $75.53 / $84.16	Professional		$73.33	$75.53	$84.16
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.48 / $70.51	Professional		$17.98	$25.48	$70.51