Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $55.09 / $63.35	Facility		$55.09	$55.09	$63.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $61.21 / $7,018.20	Professional		$55.64	$61.21	$7,018.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $52.50 / $55.65	Facility		$52.50	$52.50	$55.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Professional		$55.65	$55.65	$55.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $69.56 / $89.04	Facility		$55.09	$69.56	$89.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.99 / $69.56	Professional		$55.65	$58.99	$69.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $46.77 / $101.11	Professional		$36.02	$46.77	$101.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $68.25 / $122.30	Facility		$52.11	$68.25	$122.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $66.78 / $66.78	Professional		$61.22	$66.78	$66.78
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $58.99	Professional		$55.65	$55.65	$58.99