Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $120.36 / $121.78	Professional		$113.28	$120.36	$121.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $129.09 / $174.15	Facility		$120.36	$129.09	$174.15
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 $123.59 / $123.59 / $151.66	Facility		$123.59	$123.59	$151.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $150.44	Professional		$120.36	$120.36	$150.44
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00