Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $148.41 / $367.50	Facility		$148.41	$148.41	$367.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $87.83 / $124.72	Professional		$44.77	$87.83	$124.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $133.02 / $249.42	Facility		$49.88	$133.02	$249.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $56.00 / $105.57	Professional		$47.60	$56.00	$105.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $124.72 / $137.19	Facility		$76.95	$124.72	$137.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $76.75	Professional		$63.96	$63.96	$76.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $57.56 / $124.72	Professional		$48.93	$57.56	$124.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.94 / $127.92 / $230.26	Facility		$95.94	$127.92	$230.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $112.42 / $112.42	Professional		$101.91	$112.42	$112.42
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $73.55	Professional		$26.86	$26.86	$73.55