Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.85 / $92.85 / $133.77	Facility		$92.85	$92.85	$133.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $100.33 / $100.33	Professional		$36.02	$100.33	$100.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $107.01 / $200.64	Facility		$40.13	$107.01	$200.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $44.98 / $85.29	Professional		$38.24	$44.98	$85.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.90 / $100.33 / $110.36	Facility		$61.90	$100.33	$110.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $61.74	Professional		$51.45	$51.45	$61.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $100.33 / $100.33	Professional		$100.33	$100.33	$100.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.18 / $102.90 / $185.22	Facility		$77.18	$102.90	$185.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $90.75 / $90.75	Professional		$81.87	$90.75	$90.75
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $21.61 / $51.45	Professional		$21.61	$21.61	$51.45