Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $67.50 / $89.87	Facility		$47.63	$67.50	$89.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $56.82	Professional		$41.38	$41.38	$56.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $161.40 / $161.40	Facility		$161.40	$161.40	$161.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $32.77 / $75.15	Professional		$19.16	$32.77	$75.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $45.52 / $62.07	Facility		$41.38	$45.52	$62.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $42.21 / $49.66	Professional		$41.38	$42.21	$49.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $31.65 / $80.69	Professional		$30.00	$31.65	$80.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62.07 / $80.55 / $148.97	Facility		$62.07	$80.55	$148.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $72.59 / $72.59	Professional		$71.00	$72.59	$72.59
United Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $27.71 / $54.86	Professional		$26.14	$27.71	$54.86