Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.75 / $93.75 / $93.75	Facility		$93.75	$93.75	$93.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $79.69 / $93.75	Professional		$75.00	$79.69	$93.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $85.47 / $115.30	Facility		$79.69	$85.47	$115.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $74.31 / $74.31	Professional		$74.31	$74.31	$74.31
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 $109.85 / $111.83 / $171.47	Facility		$109.85	$111.83	$171.47
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $118.01	Professional		$90.69	$90.69	$118.01