Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.49 / $89.49 / $128.93	Facility		$89.49	$89.49	$128.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $96.70 / $96.70	Professional		$34.71	$96.70	$96.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $103.14 / $193.38	Facility		$38.68	$103.14	$193.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $43.45 / $91.26	Professional		$36.94	$43.45	$91.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.66 / $96.70 / $106.37	Facility		$59.66	$96.70	$106.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $59.51	Professional		$49.59	$49.59	$59.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $44.63 / $96.70	Professional		$37.94	$44.63	$96.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.39 / $111.58 / $182.49	Facility		$74.39	$111.58	$182.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $87.24 / $97.33	Professional		$84.97	$87.24	$97.33
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $28.41 / $101.48	Professional		$20.83	$28.41	$101.48