Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $80.75 / $92.86	Facility		$80.75	$80.75	$92.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $89.00 / $101.14	Professional		$80.75	$89.00	$101.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $80.91 / $80.91	Facility		$76.33	$80.91	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $107.21 / $144.63	Facility		$89.00	$107.21	$144.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $101.14	Professional		$80.91	$80.91	$101.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $80.91 / $141.06	Facility		$80.91	$80.91	$141.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $97.09 / $97.09	Professional		$89.31	$97.09	$97.09
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91