Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $248.35	Facility		$172.40	$172.40	$248.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $186.26 / $186.26	Professional		$66.86	$186.26	$186.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.14 / $101.21 / $372.54	Facility		$93.14	$101.21	$372.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $109.86 / $137.32	Professional		$49.58	$109.86	$137.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.79 / $186.26 / $197.44	Facility		$89.79	$186.26	$197.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $95.52 / $114.62	Professional		$95.52	$95.52	$114.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $95.52 / $95.52	Professional		$95.52	$95.52	$95.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $214.92 / $351.51	Facility		$143.28	$214.92	$351.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $164.12 / $168.04	Professional		$81.19	$164.12	$168.04
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $46.62 / $132.90	Professional		$40.11	$46.62	$132.90