Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.47 / $175.47 / $252.77	Facility		$175.47	$175.47	$252.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $189.58 / $189.58	Professional		$68.05	$189.58	$189.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.83 / $202.21 / $379.14	Facility		$75.83	$202.21	$379.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $85.38 / $161.04	Professional		$72.56	$85.38	$161.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.98 / $189.58 / $208.54	Facility		$116.98	$189.58	$208.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $97.22 / $116.66	Professional		$97.22	$97.22	$116.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $87.50 / $97.22	Professional		$74.38	$87.50	$97.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $145.83 / $194.44 / $349.99	Facility		$145.83	$194.44	$349.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.58 / $170.97 / $170.97	Professional		$154.58	$170.97	$170.97
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $40.83 / $111.80	Professional		$40.83	$40.83	$111.80