Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $86.68 / $112.47	Professional		$57.67	$86.68	$112.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $91.81	Facility		$88.85	$88.85	$91.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $94.72	Professional		$64.86	$88.85	$94.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $96.43 / $128.44	Facility		$35.72	$96.43	$128.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $122.02 / $128.44	Professional		$115.60	$122.02	$128.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $94.79 / $112.89	Professional		$30.00	$94.79	$112.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.47 / $125.43 / $188.15	Facility		$112.47	$125.43	$188.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $89.91 / $134.86	Professional		$89.91	$89.91	$134.86
United Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $55.35 / $87.79	Professional		$51.17	$55.35	$87.79