Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.56 / $390.56 / $390.56	Facility		$390.56	$390.56	$390.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $30.09 / $55.69	Professional		$17.86	$30.09	$55.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $35.21 / $58.47	Facility		$23.25	$35.21	$58.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $38.99 / $41.04	Professional		$38.99	$38.99	$41.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $71.81 / $80.03	Professional		$63.61	$71.81	$80.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $28.73 / $43.09	Professional		$28.73	$28.73	$43.09
United Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $17.39 / $29.37	Professional		$16.09	$17.39	$29.37