Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.60 / $88.60 / $88.60	Facility		$88.60	$88.60	$88.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $92.03 / $109.34	Professional		$88.60	$92.03	$109.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $97.56 / $139.96	Facility		$89.82	$97.56	$139.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $165.29 / $188.90	Professional		$155.84	$165.29	$188.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $94.45 / $185.12	Professional		$30.00	$94.45	$185.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $121.09 / $145.31 / $145.31	Facility		$121.09	$145.31	$145.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $144.77 / $151.79	Professional		$123.05	$144.77	$151.79
United Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $122.40 / $160.66	Professional		$92.03	$122.40	$160.66