Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.43 / $165.43 / $238.32	Facility		$165.43	$165.43	$238.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $178.74 / $178.74	Professional		$64.16	$178.74	$178.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $190.66 / $357.48	Facility		$71.50	$190.66	$357.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.28 / $178.74 / $196.61	Facility		$110.28	$178.74	$196.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $93.49 / $109.99	Professional		$91.66	$93.49	$109.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $178.74	Professional		$30.00	$30.00	$178.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $137.49 / $183.32 / $329.98	Facility		$137.49	$183.32	$329.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $136.81 / $179.77	Professional		$136.81	$136.81	$179.77
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $47.53 / $130.15	Professional		$38.50	$47.53	$130.15