Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $98.54 / $98.54	Facility		$98.54	$98.54	$98.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $111.13 / $126.29	Professional		$98.54	$111.13	$126.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $101.03 / $101.03	Facility		$95.31	$101.03	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $126.29 / $161.65	Facility		$98.54	$126.29	$161.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $103.05 / $126.29	Professional		$101.03	$103.05	$126.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.46 / $184.56 / $205.65	Professional		$163.46	$184.56	$205.65
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 $109.52 / $121.24 / $121.24	Professional		$109.52	$121.24	$121.24
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03