Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.56 / $105.56 / $152.07	Facility		$105.56	$105.56	$152.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $114.06 / $114.06	Professional		$40.94	$114.06	$114.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $121.66 / $228.12	Facility		$45.62	$121.66	$228.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $51.41 / $96.62	Professional		$43.70	$51.41	$96.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $114.06 / $125.47	Facility		$70.37	$114.06	$125.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $70.19	Professional		$58.49	$58.49	$70.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $114.06	Professional		$58.49	$58.49	$114.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.74 / $116.98 / $210.56	Facility		$87.74	$116.98	$210.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $103.05 / $103.05	Professional		$92.75	$103.05	$103.05
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $67.26	Professional		$24.57	$24.57	$67.26