Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.85 / $109.85 / $109.85	Facility		$109.85	$109.85	$109.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $109.85 / $154.56	Professional		$78.97	$109.85	$154.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $118.18	Facility		$88.16	$88.16	$118.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $102.18	Professional		$74.94	$88.16	$102.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.13 / $85.82 / $154.56	Facility		$60.13	$85.82	$154.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $118.59 / $158.15	Professional		$15.05	$118.59	$158.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $109.43 / $112.38	Professional		$10.94	$109.43	$112.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $130.47 / $224.19	Facility		$130.47	$130.47	$224.19
United Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $71.93 / $122.54	Professional		$65.86	$71.93	$122.54