Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $141.24 / $203.48	Facility		$141.24	$141.24	$203.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $152.61 / $152.61	Professional		$54.78	$152.61	$152.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $82.92 / $305.22	Facility		$76.31	$82.92	$305.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $90.03 / $112.54	Professional		$53.69	$90.03	$112.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $143.09 / $164.00	Facility		$73.56	$143.09	$164.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $93.91	Professional		$78.26	$78.26	$93.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $78.26	Professional		$78.26	$78.26	$78.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.39 / $176.09 / $288.00	Facility		$117.39	$176.09	$288.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $134.44 / $137.59	Professional		$66.52	$134.44	$137.59
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $46.55 / $128.82	Professional		$32.86	$46.55	$128.82