Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.56 / $128.56 / $185.20	Facility		$128.56	$128.56	$185.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $138.90 / $138.90	Professional		$49.86	$138.90	$138.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $75.47 / $277.80	Facility		$69.45	$75.47	$277.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $81.77 / $102.22	Professional		$32.09	$81.77	$102.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $91.40 / $145.85	Facility		$58.50	$91.40	$145.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $74.79 / $85.48	Professional		$71.23	$74.79	$85.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $71.23 / $71.23	Professional		$71.23	$71.23	$71.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.85 / $153.13 / $256.43	Facility		$106.85	$153.13	$256.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $122.22 / $125.30	Professional		$60.55	$122.22	$125.30
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $31.13 / $86.15	Professional		$29.92	$31.13	$86.15