Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $407.20 / $941.20	Facility		$21.12	$407.20	$941.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $21.09 / $79.81	Professional		$11.58	$21.09	$79.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $50.01 / $86.23	Professional		$16.47	$50.01	$86.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $56.14 / $95.91	Facility		$16.89	$56.14	$95.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $80.06 / $97.04	Professional		$19.21	$80.06	$97.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $32.34 / $86.52	Professional		$28.48	$32.34	$86.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $33.86 / $84.30	Professional		$15.30	$33.86	$84.30
United Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $76.84 / $107.25	Professional		$53.64	$76.84	$107.25