Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Facility		$62.56	$62.56	$62.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $130.94 / $169.89	Professional		$76.45	$130.94	$169.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $121.72	Facility		$112.67	$112.67	$121.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $120.11	Professional		$82.25	$112.67	$120.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $136.68 / $194.02	Facility		$58.07	$136.68	$194.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $184.32 / $194.02	Professional		$174.62	$184.32	$194.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $143.18 / $170.52	Professional		$30.00	$143.18	$170.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.89 / $189.47 / $284.20	Facility		$169.89	$189.47	$284.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $140.51 / $203.72	Professional		$135.81	$140.51	$203.72
United Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $89.95 / $142.66	Professional		$83.17	$89.95	$142.66