Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $102.62	Facility		$51.31	$51.31	$102.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $56.44	Professional		$51.31	$51.31	$56.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.10 / $200.10 / $200.10	Facility		$200.10	$200.10	$200.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $56.44 / $87.20	Facility		$51.31	$56.44	$87.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $61.57	Professional		$51.31	$51.31	$61.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $39.25 / $100.05	Professional		$30.00	$39.25	$100.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.97 / $102.62 / $184.72	Facility		$76.97	$102.62	$184.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $76.61 / $79.03	Professional		$76.61	$76.61	$79.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $21.55 / $59.01	Professional		$21.55	$21.55	$59.01