Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Facility		$126.00	$126.00	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $126.00 / $179.74	Professional		$89.39	$126.00	$179.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $134.41	Facility		$100.30	$100.30	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $116.64	Professional		$85.26	$100.30	$116.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $89.39 / $179.74	Facility		$58.10	$89.39	$179.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $137.88 / $170.84	Professional		$17.05	$137.88	$170.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.77 / $124.45	Professional		$9.33	$15.77	$124.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $153.07 / $153.07 / $260.70	Facility		$153.07	$153.07	$260.70
United Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $83.20 / $151.88	Professional		$75.65	$83.20	$151.88