Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $98.00 / $141.18	Facility		$98.00	$98.00	$141.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $105.89 / $105.89	Professional		$38.01	$105.89	$105.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $57.54 / $211.80	Facility		$52.95	$57.54	$211.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $62.36 / $77.95	Professional		$51.57	$62.36	$77.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.04 / $105.89 / $112.24	Facility		$51.04	$105.89	$112.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $54.30 / $65.16	Professional		$54.30	$54.30	$65.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $54.30 / $54.30	Professional		$54.30	$54.30	$54.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $108.60 / $195.48	Facility		$81.45	$108.60	$195.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $93.12 / $95.44	Professional		$46.16	$93.12	$95.44
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $54.30	Professional		$22.81	$22.81	$54.30