Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.47 / $125.47 / $180.75	Facility		$125.47	$125.47	$180.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $135.56 / $135.56	Professional		$48.66	$135.56	$135.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.79 / $73.66 / $271.14	Facility		$67.79	$73.66	$271.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $80.12 / $100.15	Professional		$66.02	$80.12	$100.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $135.56 / $143.69	Facility		$65.34	$135.56	$143.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $69.52 / $83.42	Professional		$69.52	$69.52	$83.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $69.52 / $69.52	Professional		$69.52	$69.52	$69.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.28 / $139.04 / $250.27	Facility		$104.28	$139.04	$250.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $119.31 / $122.37	Professional		$59.09	$119.31	$122.37
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $29.20 / $83.42	Professional		$29.20	$29.20	$83.42