Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $227.70 / $246.00	Facility		$91.10	$227.70	$246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $58.34 / $91.10	Professional		$36.90	$58.34	$91.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $41.60 / $153.12	Facility		$38.28	$41.60	$153.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $45.02 / $56.27	Professional		$20.84	$45.02	$56.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $76.56 / $216.00	Facility		$36.90	$76.56	$216.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $39.26 / $47.11	Professional		$39.26	$39.26	$47.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $39.26 / $39.26	Professional		$39.26	$39.26	$39.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $88.34 / $144.47	Facility		$58.89	$88.34	$144.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $67.51 / $69.09	Professional		$33.36	$67.51	$69.09
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $20.19 / $55.87	Professional		$16.48	$20.19	$55.87