Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.03 / $111.03 / $159.94	Facility		$111.03	$111.03	$159.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $119.96 / $119.96	Professional		$43.06	$119.96	$119.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $127.97 / $239.94	Facility		$47.99	$127.97	$239.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $53.86 / $101.99	Professional		$45.78	$53.86	$101.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $119.96 / $131.96	Facility		$74.02	$119.96	$131.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $73.81	Professional		$61.52	$61.52	$73.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $55.37 / $119.96	Professional		$47.06	$55.37	$119.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.28 / $123.04 / $221.47	Facility		$92.28	$123.04	$221.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $108.32 / $108.32	Professional		$97.90	$108.32	$108.32
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $25.84 / $70.75	Professional		$25.84	$25.84	$70.75