Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $108.97	Facility		$108.97	$108.97	$108.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $108.97 / $162.53	Professional		$85.75	$108.97	$162.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $94.15	Facility		$62.10	$62.10	$94.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $102.38	Professional		$52.79	$62.10	$102.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $83.69 / $146.16	Facility		$44.77	$83.69	$146.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $138.85 / $146.16	Professional		$16.23	$138.85	$146.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $10.78 / $105.33	Professional		$10.53	$10.78	$105.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.72 / $142.72 / $236.23	Facility		$142.72	$142.72	$236.23
United Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $61.98 / $183.02	Professional		$57.31	$61.98	$183.02