Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.10 / $117.10 / $168.69	Facility		$117.10	$117.10	$168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $126.52 / $126.52	Professional		$45.42	$126.52	$126.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $68.73 / $253.02	Facility		$63.26	$68.73	$253.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $74.75 / $93.44	Professional		$39.85	$74.75	$93.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.99 / $113.30 / $132.85	Facility		$60.99	$113.30	$132.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $64.88 / $77.86	Professional		$64.88	$64.88	$77.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $64.88 / $64.88	Professional		$64.88	$64.88	$64.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.32 / $145.97 / $238.76	Facility		$97.32	$145.97	$238.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $111.16 / $114.17	Professional		$55.15	$111.16	$114.17
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $38.59 / $106.80	Professional		$27.25	$38.59	$106.80