Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.49 / $195.49 / $195.49	Facility		$195.49	$195.49	$195.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $93.54 / $151.51	Professional		$60.95	$93.54	$151.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.84 / $88.46 / $206.40	Facility		$9.84	$88.46	$206.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $67.63 / $150.53	Professional		$42.46	$67.63	$150.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $124.18 / $166.66	Facility		$75.50	$124.18	$166.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $145.08 / $145.08	Professional		$145.08	$145.08	$145.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.89 / $457.30 / $918.53	Facility		$307.89	$457.30	$918.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $147.25 / $148.13	Professional		$125.91	$147.25	$148.13
United Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $38.35 / $82.82	Professional		$24.73	$38.35	$82.82