Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $78.43 / $90.19	Facility		$78.43	$78.43	$90.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $87.69 / $98.67	Professional		$78.43	$87.69	$98.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $78.93 / $78.93	Facility		$74.47	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.83 / $104.59 / $141.10	Facility		$86.83	$104.59	$141.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $98.66	Professional		$78.93	$78.93	$98.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $79.73 / $79.73	Professional		$79.73	$79.73	$79.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $120.74 / $208.08	Facility		$88.54	$120.74	$208.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $94.72 / $98.66	Professional		$94.72	$94.72	$98.66
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93