Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Facility		$15.61	$15.61	$15.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $19.00 / $24.60	Professional		$15.61	$19.00	$24.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $21.00 / $40.44	Professional		$17.21	$21.00	$40.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $17.89 / $24.56	Facility		$15.61	$17.89	$24.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $36.19 / $36.19	Professional		$35.00	$36.19	$36.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Professional		$28.50	$28.50	$28.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $47.00 / $68.00	Professional		$36.00	$47.00	$68.00