Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $123.73 / $178.23	Facility		$123.73	$123.73	$178.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $133.66 / $133.66	Professional		$47.99	$133.66	$133.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $142.59 / $267.36	Facility		$53.47	$142.59	$267.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $59.98 / $113.32	Professional		$50.98	$59.98	$113.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $133.66 / $147.04	Facility		$82.48	$133.66	$147.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $68.55 / $82.26	Professional		$68.55	$68.55	$82.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $61.70 / $133.66	Professional		$52.45	$61.70	$133.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $102.83 / $137.10 / $246.78	Facility		$102.83	$137.10	$246.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.78 / $120.61 / $120.61	Professional		$108.78	$120.61	$120.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $28.79 / $68.38	Professional		$25.01	$28.79	$68.38