Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $196.35 / $362.09	Facility		$100.91	$196.35	$362.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $91.63 / $206.60	Professional		$53.50	$91.63	$206.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.52 / $62.52 / $62.70	Facility		$62.52	$62.52	$62.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $91.60 / $141.32	Professional		$58.45	$91.60	$141.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.06 / $102.61 / $186.24	Facility		$44.06	$102.61	$186.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $137.16 / $166.26	Professional		$66.70	$137.16	$166.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $117.10 / $152.00	Professional		$32.34	$117.10	$152.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $284.05 / $391.60 / $486.11	Facility		$284.05	$391.60	$486.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $97.60 / $172.38	Professional		$70.81	$97.60	$172.38
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $124.74 / $176.72	Professional		$89.25	$124.74	$176.72