Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.26 / $116.26 / $167.47	Facility		$116.26	$116.26	$167.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $125.60 / $125.60	Professional		$45.09	$125.60	$125.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $68.25 / $251.22	Facility		$50.24	$68.25	$251.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $73.93 / $92.41	Professional		$61.17	$73.93	$92.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $125.60 / $133.13	Facility		$60.55	$125.60	$133.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $77.29	Professional		$64.41	$64.41	$77.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $64.41 / $78.00	Professional		$55.00	$64.41	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.62 / $128.82 / $231.88	Facility		$96.62	$128.82	$231.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $96.02 / $99.45	Professional		$54.75	$96.02	$99.45
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $77.29	Professional		$27.05	$27.05	$77.29