Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $200.64 / $219.92	Facility		$133.82	$200.64	$219.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $89.75 / $127.45	Professional		$45.75	$89.75	$127.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.98 / $135.94 / $254.88	Facility		$50.98	$135.94	$254.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $57.22 / $120.48	Professional		$48.64	$57.22	$120.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.64 / $127.45 / $140.19	Facility		$78.64	$127.45	$140.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $65.36 / $78.43	Professional		$65.36	$65.36	$78.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.82 / $127.45	Professional		$50.00	$58.82	$127.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.04 / $147.06 / $240.52	Facility		$98.04	$147.06	$240.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.33 / $114.76 / $128.24	Professional		$112.33	$114.76	$128.24
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $37.45 / $102.40	Professional		$27.45	$37.45	$102.40