Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $42.29 / $42.29	Facility		$42.29	$42.29	$42.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $42.29 / $57.43	Professional		$30.01	$42.29	$57.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $40.96	Facility		$33.33	$33.33	$40.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $39.78	Professional		$28.33	$33.33	$39.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $31.97 / $56.76	Facility		$21.59	$31.97	$56.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $45.55 / $56.76	Professional		$5.05	$45.55	$56.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $38.58 / $39.63	Professional		$3.86	$38.58	$39.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $49.13 / $83.30	Facility		$49.13	$49.13	$83.30
United Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $25.83 / $47.15	Professional		$24.08	$25.83	$47.15