Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.36 / $132.36 / $132.36	Facility		$132.36	$132.36	$132.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $88.07 / $111.23	Professional		$39.93	$88.07	$111.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $118.66 / $222.48	Facility		$44.50	$118.66	$222.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $49.88 / $94.24	Professional		$42.40	$49.88	$94.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $111.23 / $122.35	Facility		$68.63	$111.23	$122.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $68.45	Professional		$57.04	$57.04	$68.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $51.34 / $111.23	Professional		$43.64	$51.34	$111.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.56 / $114.08 / $205.34	Facility		$85.56	$114.08	$205.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $100.12 / $100.12	Professional		$90.46	$100.12	$100.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $65.59	Professional		$23.96	$23.96	$65.59