Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $42.14 / $42.64	Professional		$39.65	$42.14	$42.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $45.20 / $60.98	Facility		$42.14	$45.20	$60.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $23.36 / $23.36	Professional		$19.25	$23.36	$23.36
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 $44.70 / $63.86 / $108.52	Facility		$44.70	$63.86	$108.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $52.68	Professional		$42.14	$42.14	$52.68
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $49.49	Professional		$41.31	$41.31	$49.49