Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $54.60 / $66.56	Facility		$52.00	$54.60	$66.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $57.95 / $61.00	Professional		$57.95	$57.95	$61.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $94.55 / $118.95	Professional		$30.00	$94.55	$118.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $59.22 / $59.22	Facility		$59.22	$59.22	$59.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $42.70 / $64.05	Professional		$42.70	$42.70	$64.05
United Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $35.53 / $59.22	Professional		$35.53	$35.53	$59.22