Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.08 / $201.84	Facility		$53.08	$53.08	$201.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $58.38 / $66.34	Professional		$53.08	$58.38	$66.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Facility		$47.49	$47.49	$47.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.28 / $66.34 / $94.88	Facility		$54.28	$66.34	$94.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $61.04 / $66.34	Professional		$46.15	$61.04	$66.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $79.62 / $135.35	Facility		$58.39	$79.62	$135.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $66.34	Professional		$53.08	$53.08	$66.34
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $75.09	Professional		$53.08	$53.08	$75.09