Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $68.79 / $575.04	Facility		$54.02	$68.79	$575.04
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $280.80 / $510.72 / $607.79	Facility	25	$280.80	$510.72	$607.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $55.62 / $98.61	Professional		$35.46	$55.62	$98.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $64.53 / $82.67	Professional		$42.52	$64.53	$82.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $62.03 / $76.84	Facility		$39.59	$62.03	$76.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $70.75 / $80.86	Professional		$61.80	$70.75	$80.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.16	Professional		$32.34	$32.34	$74.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $292.13 / $292.13 / $292.13	Facility		$292.13	$292.13	$292.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $61.69 / $75.04	Professional		$52.44	$61.69	$75.04
United Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $57.81 / $77.48	Professional		$41.30	$57.81	$77.48