Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $302.85	Facility		$75.05	$75.05	$302.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $75.05 / $90.81	Professional		$64.62	$75.05	$90.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $64.62 / $64.62	Facility		$60.96	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $80.77 / $115.50	Facility		$3.29	$80.77	$115.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $64.62 / $80.78	Professional		$7.95	$64.62	$80.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $65.95 / $65.95	Professional		$65.95	$65.95	$65.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $104.67 / $177.94	Facility		$69.78	$104.67	$177.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $80.78	Professional		$77.54	$77.54	$80.78
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62