Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.26 / $130.26 / $130.26	Facility		$130.26	$130.26	$130.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $130.26 / $138.94	Professional		$111.15	$130.26	$138.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $111.15 / $111.15	Facility		$104.86	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.82 / $138.94 / $177.84	Facility		$117.82	$138.94	$177.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $113.37 / $138.94	Professional		$111.15	$113.37	$138.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $515.25 / $581.74 / $648.22	Professional		$515.25	$581.74	$648.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $133.38 / $133.38	Professional		$133.38	$133.38	$133.38
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15