Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $53.95 / $54.58	Professional		$50.78	$53.95	$54.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $54.58 / $78.05	Facility		$28.78	$54.58	$78.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $46.15 / $46.15	Professional		$28.72	$46.15	$46.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $121.84 / $311.06 / $448.79	Facility		$121.84	$311.06	$448.79
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $74.05	Professional		$52.89	$52.89	$74.05