Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.26 / $116.26 / $167.47	Facility		$116.26	$116.26	$167.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $125.60 / $125.60	Professional		$45.09	$125.60	$125.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $68.25 / $251.22	Facility		$62.81	$68.25	$251.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $73.93 / $92.41	Professional		$39.54	$73.93	$92.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $112.49 / $131.88	Facility		$60.55	$112.49	$131.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $77.29	Professional		$64.41	$64.41	$77.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $64.41	Professional		$64.41	$64.41	$64.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.62 / $144.91 / $237.03	Facility		$96.62	$144.91	$237.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $110.58 / $113.00	Professional		$54.75	$110.58	$113.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.32 / $106.03	Professional		$27.05	$38.32	$106.03