Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Facility		$129.41	$129.41	$129.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $129.41 / $140.40	Professional		$112.32	$129.41	$140.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $112.32 / $112.32	Facility		$105.96	$112.32	$112.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Professional		$112.32	$112.32	$112.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.06 / $140.40 / $179.71	Facility		$119.06	$140.40	$179.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $119.06 / $140.40	Professional		$112.32	$119.06	$140.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $346.11	Professional		$30.00	$78.00	$346.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.78 / $134.78 / $134.78	Professional		$134.78	$134.78	$134.78
United Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Professional		$112.32	$112.32	$112.32