Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $77.83 / $77.83	Facility		$77.83	$77.83	$77.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $77.83 / $107.15	Professional		$56.02	$77.83	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $64.23	Facility		$64.23	$64.23	$64.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $64.23 / $114.90	Professional		$54.60	$64.23	$114.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $69.30 / $118.70	Facility		$52.02	$69.30	$118.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $85.60 / $90.10	Professional		$80.04	$85.60	$90.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $78.65 / $80.76	Professional		$7.86	$78.65	$80.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.48 / $87.48 / $155.43	Facility		$87.48	$87.48	$155.43
United Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $48.77 / $74.03	Professional		$46.76	$48.77	$74.03