Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.84 / $114.84 / $114.84	Facility		$114.84	$114.84	$114.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $114.84 / $154.34	Professional		$82.40	$114.84	$154.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $90.31 / $123.43	Facility		$90.31	$90.31	$123.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $90.31 / $145.80	Professional		$76.76	$90.31	$145.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $88.41 / $154.34	Facility		$63.15	$88.41	$154.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $125.16 / $156.91	Professional		$15.70	$125.16	$156.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $11.83 / $113.29	Professional		$6.06	$11.83	$113.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $127.91 / $223.88	Facility		$127.91	$127.91	$223.88
United Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $76.40 / $128.00	Professional		$68.91	$76.40	$128.00