Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.18 / $84.56 / $109.93	Facility		$81.18	$84.56	$109.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.88 / $164.88 / $164.88	Facility		$164.88	$164.88	$164.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $48.57 / $60.71	Professional		$40.15	$48.57	$60.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $54.12	Facility		$42.28	$42.28	$54.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $44.39 / $50.74	Professional		$42.28	$44.39	$50.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $78.00	Professional		$42.28	$42.28	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $81.91 / $152.21	Facility		$63.42	$81.91	$152.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $63.18 / $65.43	Professional		$35.94	$63.18	$65.43
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $17.73 / $50.39	Professional		$16.72	$17.73	$50.39