Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $163.69 / $163.69	Facility		$163.69	$163.69	$163.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $113.35 / $142.63	Professional		$76.43	$113.35	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.17 / $180.15 / $217.93	Facility		$87.17	$180.15	$217.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $118.39 / $132.87	Professional		$71.18	$118.39	$132.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.41 / $142.63 / $203.96	Facility		$84.41	$142.63	$203.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $112.09 / $139.04	Professional		$105.68	$112.09	$139.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.52	Professional		$32.34	$32.34	$100.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.54 / $140.41 / $157.84	Professional		$129.54	$140.41	$157.84
United Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $82.45 / $144.28	Professional		$66.26	$82.45	$144.28