Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.89 / $102.86 / $133.72	Facility		$80.89	$102.86	$133.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.58 / $200.58 / $200.58	Facility		$200.58	$200.58	$200.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $59.10 / $73.88	Professional		$48.84	$59.10	$73.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $53.93	Facility		$42.13	$42.13	$53.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $51.43 / $61.72	Professional		$51.43	$51.43	$61.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $78.00	Professional		$55.00	$55.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $92.57 / $185.15	Facility		$73.89	$92.57	$185.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $77.11 / $79.56	Professional		$43.72	$77.11	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $17.73 / $50.39	Professional		$16.72	$17.73	$50.39