Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.56 / $191.56 / $275.95	Facility		$191.56	$191.56	$275.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $206.97 / $206.97	Professional		$74.30	$206.97	$206.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.49 / $112.45 / $413.94	Facility		$103.49	$112.45	$413.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $121.84 / $152.29	Professional		$39.54	$121.84	$152.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $119.60 / $217.32	Facility		$71.95	$119.60	$217.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $106.14 / $127.37	Professional		$106.14	$106.14	$127.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $106.14 / $106.14	Professional		$106.14	$106.14	$106.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $212.28 / $382.10	Facility		$159.21	$212.28	$382.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $182.17 / $186.77	Professional		$90.22	$182.17	$186.77
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $44.58 / $105.98	Professional		$38.29	$44.58	$105.98