Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $63.39 / $87.43	Facility		$63.39	$63.39	$87.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $64.02 / $85.28	Professional		$62.10	$64.02	$85.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $58.58 / $62.10	Facility		$58.58	$58.58	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Professional		$62.10	$62.10	$62.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.39 / $77.62 / $99.35	Facility		$63.39	$77.62	$99.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $65.81 / $77.63	Professional		$62.10	$65.81	$77.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $60.35 / $122.83	Professional		$48.87	$60.35	$122.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $89.53 / $169.12	Facility		$66.31	$89.53	$169.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $74.52 / $74.52	Professional		$68.31	$74.52	$74.52
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $65.83	Professional		$62.10	$62.10	$65.83