Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $216.74 / $364.20	Professional		$143.41	$216.74	$364.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $194.92 / $228.27	Facility		$194.92	$194.92	$228.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $194.92 / $207.79	Professional		$142.29	$194.92	$207.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $292.98 / $415.92	Facility		$100.47	$292.98	$415.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $374.33 / $395.12 / $415.92	Professional		$374.33	$395.12	$415.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $306.95 / $365.55	Professional		$30.00	$306.95	$365.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $364.20 / $406.17 / $609.26	Facility		$364.20	$406.17	$609.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $291.14 / $436.72	Professional		$291.14	$291.14	$436.72
United Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $155.62 / $246.82	Professional		$143.88	$155.62	$246.82