Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.03 / $108.03 / $124.23	Facility		$108.03	$108.03	$124.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $108.03 / $130.72	Professional		$95.90	$108.03	$130.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $90.47 / $95.90	Facility		$90.47	$90.47	$95.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Professional		$95.90	$95.90	$95.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.49 / $135.03 / $1,730.25	Facility		$105.49	$135.03	$1,730.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.66 / $124.67	Professional		$95.90	$101.66	$124.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $133.22 / $306.35	Professional		$102.27	$133.22	$306.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.61 / $233.00 / $473.76	Facility		$169.61	$233.00	$473.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $115.08 / $119.88	Professional		$115.08	$115.08	$119.88
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $153.44	Professional		$95.90	$95.90	$153.44