Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $104.58 / $120.27	Facility		$104.58	$104.58	$120.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $103.64 / $126.54	Professional		$89.34	$103.64	$126.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $84.29 / $89.34	Facility		$84.29	$84.29	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.42 / $111.68 / $154.19	Facility		$97.42	$111.68	$154.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $111.68	Professional		$89.34	$94.70	$111.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $119.99 / $207.81	Professional		$101.99	$119.99	$207.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.62 / $190.74 / $334.83	Facility		$98.62	$190.74	$334.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $107.21 / $107.21	Professional		$98.27	$107.21	$107.21
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $94.70	Professional		$89.34	$89.34	$94.70