Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $75.34 / $85.61	Professional		$68.48	$75.34	$85.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $68.48 / $68.48	Facility		$64.61	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $85.61 / $109.58	Facility		$68.48	$85.61	$109.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $75.34 / $85.61	Professional		$68.48	$75.34	$85.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $133.56	Professional		$30.00	$78.00	$133.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $16.71 / $20.51	Facility		$16.71	$16.71	$20.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $82.18 / $82.18	Professional		$75.34	$82.18	$82.18
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48