Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $120.38 / $173.42	Facility		$120.38	$120.38	$173.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $130.07 / $130.07	Professional		$46.69	$130.07	$130.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.04 / $70.68 / $260.16	Facility		$65.04	$70.68	$260.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $76.41 / $95.51	Professional		$43.34	$76.41	$95.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $116.45 / $136.57	Facility		$62.70	$116.45	$136.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $66.70 / $80.04	Professional		$66.70	$66.70	$80.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $66.70 / $66.70	Professional		$66.70	$66.70	$66.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.05 / $150.08 / $245.46	Facility		$100.05	$150.08	$245.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $114.65 / $117.10	Professional		$56.70	$114.65	$117.10
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $39.68 / $109.80	Professional		$28.01	$39.68	$109.80