Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $114.79	Facility		$99.82	$99.82	$114.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $109.96 / $124.96	Professional		$99.82	$109.96	$124.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $99.97 / $99.97	Facility		$94.31	$99.97	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.96 / $132.46 / $178.69	Facility		$109.96	$132.46	$178.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $124.96	Professional		$99.97	$99.97	$124.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $99.04 / $99.04	Professional		$99.04	$99.04	$99.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $99.97 / $155.72	Facility		$99.97	$99.97	$155.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $119.96 / $124.96	Professional		$119.96	$119.96	$124.96
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97