Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $38.00	Facility		$38.00	$38.00	$38.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $74.84 / $106.81	Professional		$52.91	$74.84	$106.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $84.22	Facility		$68.22	$68.22	$84.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $72.72	Professional		$49.80	$68.22	$72.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $83.27 / $110.89	Facility		$32.44	$83.27	$110.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $105.35 / $110.89	Professional		$99.80	$105.35	$110.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $81.83 / $97.46	Professional		$30.00	$81.83	$97.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.10 / $108.29 / $162.44	Facility		$97.10	$108.29	$162.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $116.43	Professional		$77.62	$77.62	$116.43
United Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $50.24 / $79.68	Professional		$46.45	$50.24	$79.68