Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $67.48 / $67.48	Facility		$67.48	$67.48	$67.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $70.19 / $99.96	Professional		$62.26	$70.19	$99.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $66.06	Professional		$66.06	$66.06	$66.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $70.84 / $96.24	Facility		$62.26	$70.84	$96.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $125.67 / $143.62	Professional		$118.49	$125.67	$143.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $131.59	Professional		$30.00	$55.00	$131.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $110.45 / $116.19	Professional		$93.88	$110.45	$116.19
United Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $100.75 / $136.71	Professional		$80.29	$100.75	$136.71