Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $15.96	Facility		$8.32	$8.32	$15.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $15.31 / $28.56	Professional		$7.80	$15.31	$28.56
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.26 / $22.26 / $22.54	Professional	25	$22.26	$22.26	$22.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.89 / $6.08 / $9.49	Professional	52	$3.89	$6.08	$9.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $15.81 / $20.45	Facility		$8.27	$15.81	$20.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.20 / $34.28	Professional		$14.40	$19.20	$34.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $30.00 / $55.00	Professional		$27.93	$30.00	$55.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $58.18 / $90.39	Facility		$32.64	$58.18	$90.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $20.75 / $28.36	Professional		$12.36	$20.75	$28.36
United Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $25.49 / $34.18	Professional		$18.41	$25.49	$34.18