Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $100.72 / $100.72	Facility		$100.72	$100.72	$100.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $111.89 / $127.15	Professional		$100.72	$111.89	$127.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $101.72 / $101.72	Facility		$95.96	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $127.15 / $162.75	Facility		$100.72	$127.15	$162.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $107.82 / $127.15	Professional		$101.72	$107.82	$127.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $105.01 / $199.25	Professional		$86.96	$105.01	$199.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $122.06 / $122.06	Professional		$122.06	$122.06	$122.06
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $162.75	Professional		$101.72	$101.72	$162.75