Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $89.18 / $89.18	Facility		$89.18	$89.18	$89.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $117.37 / $133.38	Professional		$89.18	$117.37	$133.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $106.70 / $106.70	Facility		$100.66	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $133.38 / $170.73	Facility		$89.18	$133.38	$170.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $108.83 / $133.38	Professional		$106.70	$108.83	$133.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $104.69 / $142.41	Professional		$58.13	$104.69	$142.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $128.04 / $128.04	Professional		$128.04	$128.04	$128.04
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70