Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $67.72 / $67.72	Facility		$67.72	$67.72	$67.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $100.69 / $114.42	Professional		$67.72	$100.69	$114.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $91.54 / $91.54	Facility		$86.36	$91.54	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $114.42 / $146.46	Facility		$67.72	$114.42	$146.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $93.37 / $114.43	Professional		$91.54	$93.37	$114.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $133.69	Professional		$30.00	$78.00	$133.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $109.85 / $109.85	Professional		$109.85	$109.85	$109.85
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54