Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $126.06 / $126.06	Facility		$126.06	$126.06	$126.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $136.18 / $154.75	Professional		$123.80	$136.18	$154.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $123.80 / $123.80	Facility		$116.79	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $154.75 / $198.08	Facility		$126.06	$154.75	$198.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $129.99 / $154.75	Professional		$123.80	$129.99	$154.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $250.44	Professional		$30.00	$55.00	$250.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $148.56	Professional		$148.56	$148.56	$148.56
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80