Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.61 / $145.61 / $145.61	Facility		$145.61	$145.61	$145.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $68.73 / $76.48	Professional		$63.93	$68.73	$76.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $114.62 / $125.79	Professional		$114.62	$114.62	$125.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.93 / $67.84 / $97.08	Facility		$63.93	$67.84	$97.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $93.73 / $93.73	Professional		$93.73	$93.73	$93.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $140.60	Professional		$30.00	$30.00	$140.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $154.29 / $191.70	Facility		$110.27	$154.29	$191.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $108.45 / $113.58	Professional		$92.18	$108.45	$113.58
United Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $78.66 / $140.77	Professional		$70.45	$78.66	$140.77