Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.14 / $91.14 / $131.30	Facility		$91.14	$91.14	$131.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $98.48 / $98.48	Professional		$35.35	$98.48	$98.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $53.51 / $196.98	Facility		$49.25	$53.51	$196.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $57.82 / $72.28	Professional		$28.29	$57.82	$72.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $86.80 / $103.40	Facility		$47.47	$86.80	$103.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $60.60	Professional		$50.50	$50.50	$60.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Professional		$50.50	$50.50	$50.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $113.63 / $185.84	Facility		$75.75	$113.63	$185.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $86.72 / $89.00	Professional		$42.93	$86.72	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $30.04 / $83.12	Professional		$21.21	$30.04	$83.12