Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $141.94 / $204.49	Facility		$141.94	$141.94	$204.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $153.37 / $153.37	Professional		$55.06	$153.37	$153.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $83.33 / $306.72	Facility		$76.68	$83.33	$306.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $90.45 / $113.06	Professional		$24.33	$90.45	$113.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $73.93 / $161.04	Facility		$44.23	$73.93	$161.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $78.65 / $94.38	Professional		$78.65	$78.65	$94.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $78.65 / $78.65	Professional		$78.65	$78.65	$78.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $152.58 / $283.14	Facility		$115.80	$152.58	$283.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $135.02 / $138.18	Professional		$66.84	$135.02	$138.18
United Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $33.03 / $74.72	Professional		$23.54	$33.03	$74.72