Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $137.19 / $137.19	Facility		$137.19	$137.19	$137.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $148.37 / $168.61	Professional		$134.88	$148.37	$168.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $134.88 / $134.88	Facility		$127.25	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $168.61 / $215.82	Facility		$137.19	$168.61	$215.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $137.59 / $168.61	Professional		$134.88	$137.59	$168.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $129.07 / $266.14	Professional		$101.65	$129.07	$266.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.86 / $161.86 / $161.86	Professional		$161.86	$161.86	$161.86
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88