Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.66 / $118.66 / $118.66	Facility		$118.66	$118.66	$118.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $118.66 / $209.70	Professional		$86.11	$118.66	$209.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $199.84	Facility		$123.50	$123.50	$199.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $123.50 / $127.21	Professional		$104.98	$123.50	$127.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $108.40 / $206.88	Facility		$84.93	$108.40	$206.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.56 / $135.69 / $164.49	Professional		$128.56	$135.69	$164.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $155.28 / $159.36	Professional		$15.53	$155.28	$159.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $159.69 / $159.69 / $239.55	Facility		$159.69	$159.69	$239.55
United Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $104.84 / $334.85	Professional		$78.36	$104.84	$334.85