Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $151.19 / $159.90	Facility		$111.00	$151.19	$159.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $119.93 / $119.93	Professional		$40.13	$119.93	$119.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $65.17 / $239.88	Facility		$59.97	$65.17	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $70.62 / $88.28	Professional		$21.14	$70.62	$88.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $64.09 / $125.93	Facility		$38.40	$64.09	$125.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $61.50 / $73.80	Professional		$61.50	$61.50	$73.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $119.31 / $221.40	Facility		$92.25	$119.31	$221.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $105.34 / $108.32	Professional		$52.28	$105.34	$108.32
United Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $25.83 / $58.43	Professional		$19.66	$25.83	$58.43