Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $142.86 / $142.86	Facility		$142.86	$142.86	$142.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $145.09 / $164.87	Professional		$131.90	$145.09	$164.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $131.90 / $131.90	Facility		$124.43	$131.90	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.81 / $164.87 / $211.03	Facility		$139.81	$164.87	$211.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $134.54 / $164.88	Professional		$131.90	$134.54	$164.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $207.17 / $260.64	Professional		$110.43	$207.17	$260.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $158.28 / $158.28	Professional		$158.28	$158.28	$158.28
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $184.66	Professional		$131.90	$131.90	$184.66