Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.24 / $119.24 / $119.24	Facility		$119.24	$119.24	$119.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $119.24 / $198.78	Professional		$104.87	$119.24	$198.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $168.29	Professional		$83.68	$98.45	$168.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $112.69 / $198.78	Facility		$99.78	$112.69	$198.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $152.27 / $160.28	Professional		$144.25	$152.27	$160.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $115.51 / $118.28	Professional		$11.55	$115.51	$118.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.52 / $156.52 / $234.78	Facility		$156.52	$156.52	$234.78
United Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $69.84 / $125.06	Facility		$9.31	$69.84	$125.06
United Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $79.81 / $126.39	Professional		$79.81	$79.81	$126.39