Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $57.53 / $58.20	Professional		$54.14	$57.53	$58.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $61.69 / $83.23	Facility		$57.53	$61.69	$83.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $64.73 / $117.70	Facility		$57.53	$64.73	$117.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $71.91	Professional		$57.53	$57.53	$71.91
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40