Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $63.75 / $64.50	Professional		$60.00	$63.75	$64.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $64.50 / $92.24	Facility		$33.31	$64.50	$92.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $60.47 / $1,621.26	Professional		$60.47	$60.47	$1,621.26
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 $175.42 / $250.61 / $417.68	Facility		$175.42	$250.61	$417.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $183.95 / $229.94	Professional		$183.95	$183.95	$229.94
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $87.50	Professional		$62.50	$62.50	$87.50