Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.52 / $92.52 / $92.52	Facility		$92.52	$92.52	$92.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $92.52 / $153.34	Professional		$66.40	$92.52	$153.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $133.18	Facility		$81.17	$81.17	$133.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $81.17 / $104.22	Professional		$68.98	$81.17	$104.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $79.19 / $153.34	Facility		$62.41	$79.19	$153.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $126.12 / $169.30	Professional		$16.94	$126.12	$169.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $12.62 / $112.05	Professional		$8.40	$12.62	$112.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $122.45 / $122.45 / $222.44	Facility		$122.45	$122.45	$222.44
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $81.28 / $138.10	Professional		$61.50	$81.28	$138.10