Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.18 / $92.18 / $132.78	Facility		$92.18	$92.18	$132.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $76.59 / $99.59	Professional		$35.75	$76.59	$99.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $106.24 / $199.20	Facility		$39.84	$106.24	$199.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $44.68 / $84.69	Professional		$37.97	$44.68	$84.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.45 / $99.59 / $109.55	Facility		$61.45	$99.59	$109.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $51.07 / $61.28	Professional		$51.07	$51.07	$61.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $45.96 / $99.59	Professional		$39.07	$45.96	$99.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $102.14 / $183.85	Facility		$76.61	$102.14	$183.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $89.58 / $89.58	Professional		$81.30	$89.58	$89.58
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.45 / $58.73	Professional		$21.45	$21.45	$58.73