Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $88.43 / $89.47	Professional		$83.23	$88.43	$89.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $94.84 / $127.94	Facility		$88.43	$94.84	$127.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $102.28 / $102.28	Professional		$82.41	$102.28	$102.28
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 $101.09 / $101.09 / $124.07	Facility		$101.09	$101.09	$124.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $110.54	Professional		$88.43	$88.43	$110.54
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $138.72	Professional		$86.70	$86.70	$138.72