Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $108.80 / $108.80	Facility		$62.82	$108.80	$108.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $52.21 / $67.88	Professional		$24.37	$52.21	$67.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $72.42 / $135.78	Facility		$27.16	$72.42	$135.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $26.01 / $59.05	Professional		$19.77	$26.01	$59.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $59.55 / $74.67	Facility		$41.88	$59.55	$74.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $35.51 / $43.51	Professional		$34.81	$35.51	$43.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $31.33 / $67.88	Professional		$26.63	$31.33	$67.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $74.11 / $125.32	Facility		$52.22	$74.11	$125.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $61.48 / $62.98	Professional		$59.95	$61.48	$62.98
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.31 / $52.88	Professional		$20.89	$27.31	$52.88