Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.15 / $112.15 / $161.56	Facility		$112.15	$112.15	$161.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $121.17 / $121.17	Professional		$43.50	$121.17	$121.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $65.84 / $242.34	Facility		$48.47	$65.84	$242.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $71.45 / $89.31	Professional		$59.01	$71.45	$89.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.41 / $121.17 / $128.44	Facility		$58.41	$121.17	$128.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $74.56	Professional		$62.14	$62.14	$74.56
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 $93.21 / $124.28 / $223.70	Facility		$93.21	$124.28	$223.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $93.03 / $95.78	Professional		$52.82	$93.03	$95.78
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $74.56	Professional		$26.10	$26.10	$74.56