Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $63.38 / $72.89	Facility		$63.38	$63.38	$72.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $79.86 / $99.83	Professional		$63.38	$79.86	$99.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $75.34 / $79.86	Facility		$75.34	$75.34	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Professional		$79.86	$79.86	$79.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $102.15 / $158.63	Facility		$63.38	$102.15	$158.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $84.65 / $101.39	Professional		$79.86	$84.65	$101.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $97.93 / $123.20	Professional		$57.19	$97.93	$123.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $140.26 / $295.73	Facility		$80.65	$140.26	$295.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $95.83 / $99.83	Professional		$95.83	$95.83	$99.83
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $88.90	Professional		$79.86	$79.86	$88.90