Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.82 / $221.82 / $221.82	Facility		$221.82	$221.82	$221.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $106.14 / $171.63	Professional		$69.06	$106.14	$171.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $100.37 / $234.19	Facility		$11.16	$100.37	$234.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $76.73 / $170.52	Professional		$47.80	$76.73	$170.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.49 / $140.66 / $188.79	Facility		$89.49	$140.66	$188.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $164.19 / $164.19	Professional		$164.19	$164.19	$164.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $92.71 / $158.84	Facility		$72.20	$92.71	$158.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.33 / $167.17 / $167.45	Professional		$142.33	$167.17	$167.45
United Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $43.35 / $93.89	Professional		$28.02	$43.35	$93.89