Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $86.94 / $99.98	Facility		$86.94	$86.94	$99.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $96.01 / $109.11	Professional		$86.94	$96.01	$109.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $87.28 / $87.28	Facility		$82.34	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $115.66 / $156.03	Facility		$96.01	$115.66	$156.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $96.01 / $109.10	Professional		$87.28	$96.01	$109.10
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 $83.97 / $83.97 / $103.06	Facility		$83.97	$83.97	$103.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $104.74 / $109.10	Professional		$104.74	$104.74	$109.10
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28