Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.06 / $145.06 / $208.96	Facility		$145.06	$145.06	$208.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $156.72 / $156.72	Professional		$56.26	$156.72	$156.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.36 / $85.15 / $313.44	Facility		$78.36	$85.15	$313.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $92.10 / $115.12	Professional		$48.36	$92.10	$115.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $147.86 / $171.46	Facility		$75.55	$147.86	$171.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $80.37 / $96.44	Professional		$80.37	$80.37	$96.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Professional		$80.37	$80.37	$80.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.56 / $180.83 / $295.76	Facility		$120.56	$180.83	$295.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $137.93 / $141.11	Professional		$68.31	$137.93	$141.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $47.79 / $132.25	Professional		$33.76	$47.79	$132.25