Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.29 / $85.29 / $122.85	Facility		$85.29	$85.29	$122.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $92.14 / $92.14	Professional		$33.08	$92.14	$92.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $98.27 / $184.26	Facility		$36.85	$98.27	$184.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $41.31 / $78.13	Professional		$35.11	$41.31	$78.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $92.14 / $101.35	Facility		$56.86	$92.14	$101.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $56.70	Professional		$47.25	$47.25	$56.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $42.53 / $92.14	Professional		$36.15	$42.53	$92.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.88 / $94.50 / $170.10	Facility		$70.88	$94.50	$170.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $83.14 / $83.14	Professional		$75.00	$83.14	$83.14
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $70.88	Professional		$19.85	$19.85	$70.88