Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $255.00 / $258.00	Professional		$249.00	$255.00	$258.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $286.20	Facility		$255.00	$255.00	$286.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $255.00 / $255.00	Professional		$100.95	$255.00	$255.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.30 / $255.00 / $273.48	Facility		$217.30	$255.00	$273.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $64.84 / $406.51	Professional		$55.82	$64.84	$406.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $78.00 / $1,500.00	Professional		$55.00	$78.00	$1,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $263.18 / $457.69 / $610.09	Facility		$263.18	$457.69	$610.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $318.75	Professional		$255.00	$255.00	$318.75
United Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $250.00 / $250.00	Professional		$25.00	$250.00	$250.00