Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $136.44 / $196.56	Facility		$136.44	$136.44	$196.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $147.41 / $147.41	Professional		$52.92	$147.41	$147.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $80.09 / $294.83	Facility		$73.70	$80.09	$294.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $71.79 / $108.93	Professional		$12.77	$71.79	$108.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $147.41 / $162.16	Facility		$71.06	$147.41	$162.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $75.59 / $90.72	Professional		$75.59	$75.59	$90.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $147.41 / $147.41	Professional		$147.41	$147.41	$147.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $132.30 / $272.16	Facility		$74.83	$132.30	$272.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $132.91 / $132.91	Professional		$64.26	$132.91	$132.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $31.75 / $53.87	Professional		$12.57	$31.75	$53.87