Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $44.10 / $53.76	Facility		$42.00	$44.10	$53.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $50.75 / $53.42	Professional		$50.75	$50.75	$53.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $93.49 / $104.17	Professional		$30.00	$93.49	$104.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.86 / $51.86 / $51.86	Facility		$51.86	$51.86	$51.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $37.39 / $56.09	Professional		$37.39	$37.39	$56.09
United Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $31.12 / $51.86	Professional		$31.12	$31.12	$51.86