Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $114.48 / $380.72	Facility		$114.48	$114.48	$380.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $123.70 / $140.57	Professional		$112.45	$123.70	$140.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $112.45 / $112.45	Facility		$106.09	$112.45	$112.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.70 / $149.00 / $201.02	Facility		$123.70	$149.00	$201.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $140.56	Professional		$112.45	$112.45	$140.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $128.71 / $128.71	Professional		$128.71	$128.71	$128.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.18 / $197.13 / $327.58	Facility		$134.18	$197.13	$327.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $134.94 / $140.56	Professional		$134.94	$134.94	$140.56
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $157.43	Professional		$112.45	$112.45	$157.43