Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $56.09 / $64.50	Facility		$56.09	$56.09	$64.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $56.09 / $67.87	Professional		$50.37	$56.09	$67.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $47.51 / $50.37	Facility		$47.51	$47.51	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $62.96 / $90.03	Facility		$27.14	$62.96	$90.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $62.96	Professional		$50.37	$50.37	$62.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $59.88 / $59.88	Professional		$59.88	$59.88	$59.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $90.00 / $151.61	Facility		$60.00	$90.00	$151.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $60.44 / $62.96	Professional		$60.44	$60.44	$62.96
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $56.07	Professional		$50.37	$50.37	$56.07