Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.91 / $285.12 / $303.18	Facility		$137.91	$285.12	$303.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $101.03 / $156.30	Professional		$63.32	$101.03	$156.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $71.36 / $262.68	Facility		$65.67	$71.36	$262.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $77.23 / $96.54	Professional		$41.37	$77.23	$96.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $117.64 / $137.91	Facility		$63.32	$117.64	$137.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $67.36 / $80.83	Professional		$67.36	$67.36	$80.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $67.36 / $67.36	Professional		$67.36	$67.36	$67.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $151.56 / $247.88	Facility		$101.04	$151.56	$247.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $115.82 / $118.27	Professional		$57.26	$115.82	$118.27
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.07 / $110.88	Professional		$28.29	$40.07	$110.88