Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.17 / $118.17 / $118.17	Facility		$118.17	$118.17	$118.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $119.58 / $120.98	Professional		$112.54	$119.58	$120.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $128.24 / $173.00	Facility		$119.58	$128.24	$173.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $102.98 / $102.98 / $126.39	Facility		$102.98	$102.98	$126.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $149.47	Professional		$119.58	$119.58	$149.47
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24