Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $169.94 / $169.94	Facility		$169.94	$169.94	$169.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $81.31 / $131.38	Professional		$52.85	$81.31	$131.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $76.89 / $179.41	Facility		$8.52	$76.89	$179.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $58.78 / $130.53	Professional		$23.54	$58.78	$130.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.12 / $89.11 / $144.52	Facility		$54.12	$89.11	$144.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $125.24 / $125.24	Professional		$125.24	$125.24	$125.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $384.07 / $524.42	Facility		$197.02	$384.07	$524.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $127.67 / $128.22	Professional		$108.99	$127.67	$128.22
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $30.83 / $71.73	Professional		$21.45	$30.83	$71.73