Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.20 / $93.20 / $134.26	Facility		$93.20	$93.20	$134.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $77.45 / $100.70	Professional		$48.54	$77.45	$100.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $54.72 / $201.42	Facility		$50.36	$54.72	$201.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $59.47 / $74.34	Professional		$24.94	$59.47	$74.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.54 / $76.70 / $105.74	Facility		$48.54	$76.70	$105.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $51.64 / $61.97	Professional		$51.64	$51.64	$61.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $51.64 / $51.64	Professional		$51.64	$51.64	$51.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $116.19 / $190.04	Facility		$77.45	$116.19	$190.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $88.46 / $90.75	Professional		$43.89	$88.46	$90.75
United Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $30.72 / $85.00	Professional		$21.69	$30.72	$85.00