Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $132.41 / $190.76	Facility		$132.41	$132.41	$190.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $143.07 / $143.07	Professional		$51.36	$143.07	$143.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $152.61 / $286.14	Facility		$57.23	$152.61	$286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $54.62 / $121.67	Professional		$31.94	$54.62	$121.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $143.07 / $157.38	Facility		$88.28	$143.07	$157.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $88.04	Professional		$73.37	$73.37	$88.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.07 / $143.07 / $143.07	Professional		$143.07	$143.07	$143.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $110.06 / $162.19 / $264.13	Facility		$110.06	$162.19	$264.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.81 / $128.81	Professional		$120.23	$128.81	$128.81
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $31.68 / $86.76	Professional		$30.82	$31.68	$86.76