Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $66.31 / $66.31	Facility		$66.31	$66.31	$66.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $74.00 / $84.09	Professional		$66.31	$74.00	$84.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $67.27 / $67.27	Facility		$63.47	$67.27	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $84.09 / $107.64	Facility		$66.31	$84.09	$107.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $71.31 / $84.09	Professional		$67.27	$71.31	$84.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $124.06	Professional		$30.00	$78.00	$124.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $80.73 / $80.73	Professional		$80.73	$80.73	$80.73
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27