Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.24 / $122.49 / $281.54	Facility		$108.24	$122.49	$281.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $90.59 / $153.60	Professional		$33.14	$90.59	$153.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $83.46 / $307.20	Facility		$76.80	$83.46	$307.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $90.86 / $113.58	Professional		$17.48	$90.86	$113.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.72 / $74.04 / $161.28	Facility		$31.72	$74.04	$161.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $78.77 / $94.52	Professional		$78.77	$78.77	$94.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $78.77 / $78.77	Professional		$78.77	$78.77	$78.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.55 / $141.79 / $283.57	Facility		$96.55	$141.79	$283.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $135.02 / $138.76	Professional		$66.95	$135.02	$138.76
United Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $33.08 / $63.02	Professional		$16.88	$33.08	$63.02