Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Facility		$80.48	$80.48	$80.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $96.77 / $109.97	Professional		$80.48	$96.77	$109.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $87.98 / $87.98	Facility		$83.00	$87.98	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $109.97 / $140.76	Facility		$80.48	$109.97	$140.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $89.74 / $109.98	Professional		$87.98	$89.74	$109.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $94.93 / $185.11	Professional		$30.00	$94.93	$185.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $105.57 / $105.57	Professional		$105.57	$105.57	$105.57
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98