Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.12 / $83.12 / $83.12	Facility		$83.12	$83.12	$83.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $83.12 / $115.46	Professional		$50.38	$83.12	$115.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $94.85	Facility		$65.95	$65.95	$94.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $87.48	Professional		$56.07	$65.95	$87.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $65.09 / $115.46	Facility		$48.10	$65.09	$115.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $90.45 / $120.56	Professional		$12.03	$90.45	$120.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $84.68 / $86.94	Professional		$8.47	$84.68	$86.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $94.58 / $94.58 / $167.48	Facility		$94.58	$94.58	$167.48
United Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $58.70 / $107.16	Professional		$49.87	$58.70	$107.16