Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.48 / $117.48 / $117.48	Facility		$117.48	$117.48	$117.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $117.48 / $168.92	Professional		$84.89	$117.48	$168.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $124.14	Facility		$94.65	$94.65	$124.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $145.80	Professional		$80.45	$94.65	$145.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.16 / $93.17 / $166.12	Facility		$63.16	$93.17	$166.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $125.47 / $157.81	Professional		$15.80	$125.47	$157.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $116.30 / $119.43	Professional		$11.62	$116.30	$119.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $144.80 / $144.80 / $245.00	Facility		$144.80	$144.80	$245.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $76.34 / $128.72	Professional		$70.58	$76.34	$128.72