Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $71.33 / $144.12	Facility		$71.33	$71.33	$144.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $71.33 / $151.63	Professional		$67.14	$71.33	$151.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $76.50 / $103.20	Facility		$71.33	$76.50	$103.20
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 $170.61 / $296.70 / $473.06	Facility		$170.61	$296.70	$473.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $44.20 / $55.25	Professional		$44.20	$44.20	$55.25
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67