Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $107.92 / $107.92	Facility		$107.92	$107.92	$107.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $107.92 / $122.43	Professional		$97.94	$107.92	$122.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $97.94 / $97.94	Facility		$92.40	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.79 / $122.43 / $156.71	Facility		$102.79	$122.43	$156.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $103.82 / $122.43	Professional		$97.94	$103.82	$122.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $155.26 / $195.33	Professional		$30.00	$155.26	$195.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.86 / $132.86 / $163.05	Facility		$132.86	$132.86	$163.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $117.53 / $117.53	Professional		$103.10	$117.53	$117.53
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94