Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.44 / $171.44 / $171.44	Facility		$171.44	$171.44	$171.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $136.97 / $136.97	Professional		$71.06	$136.97	$136.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.80 / $3,692.73 / $4,407.60	Facility		$1,786.80	$3,692.73	$4,407.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $107.18 / $173.45	Professional		$76.05	$107.18	$173.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.37 / $136.97 / $179.47	Facility		$52.37	$136.97	$179.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $118.30 / $135.19	Professional		$111.54	$118.30	$135.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $32.34 / $119.40	Professional		$14.00	$32.34	$119.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,570.48 / $3,382.33 / $4,870.55	Facility		$1,570.48	$3,382.33	$4,870.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $141.80 / $158.18	Professional		$130.81	$141.80	$158.18
United Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $75.62 / $159.40	Professional		$61.05	$75.62	$159.40