Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $141.00 / $162.15	Facility		$141.00	$141.00	$162.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $155.76 / $177.01	Professional		$141.00	$155.76	$177.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $141.60 / $141.60	Facility		$133.59	$141.60	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.76 / $187.63 / $253.12	Facility		$155.76	$187.63	$253.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $177.00	Professional		$141.60	$141.60	$177.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.56 / $136.56 / $136.56	Professional		$136.56	$136.56	$136.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $126.55 / $141.60 / $243.02	Facility		$126.55	$141.60	$243.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $169.92 / $177.00	Professional		$169.92	$169.92	$177.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $141.60 / $163.84	Professional		$140.54	$141.60	$163.84