Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $108.60 / $108.60	Facility		$108.60	$108.60	$108.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $151.72 / $172.41	Professional		$108.60	$151.72	$172.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.12 / $137.93 / $137.93	Facility		$130.12	$137.93	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $172.41 / $220.68	Facility		$108.60	$172.41	$220.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $172.41	Professional		$137.93	$137.93	$172.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $249.76	Professional		$30.00	$55.00	$249.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $165.51 / $165.51	Professional		$165.51	$165.51	$165.51
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93