Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $110.43 / $110.43	Facility		$110.43	$110.43	$110.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $110.43 / $141.25	Professional		$74.52	$110.43	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $81.40	Facility		$78.94	$78.94	$81.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $78.94 / $132.69	Professional		$67.09	$78.94	$132.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $74.52 / $128.52	Facility		$39.36	$74.52	$128.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $94.75 / $126.37	Professional		$12.00	$94.75	$126.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $91.07 / $93.25	Professional		$9.11	$91.07	$93.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $123.41 / $123.41 / $204.86	Facility		$123.41	$123.41	$204.86
United Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $59.14 / $97.93	Professional		$50.39	$59.14	$97.93