Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.01 / $74.01 / $74.01	Facility		$74.01	$74.01	$74.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $74.01 / $111.73	Professional		$49.94	$74.01	$111.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $99.28	Facility		$60.80	$60.80	$99.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $60.80 / $92.88	Professional		$51.68	$60.80	$92.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.89 / $63.65 / $116.52	Facility		$44.89	$63.65	$116.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $85.14 / $126.20	Professional		$12.62	$85.14	$126.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $8.73 / $83.71	Professional		$5.85	$8.73	$83.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $88.26 / $162.11	Facility		$88.26	$88.26	$162.11
United Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $61.45 / $102.94	Professional		$47.77	$61.45	$102.94