Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.73 / $109.73 / $158.08	Facility		$109.73	$109.73	$158.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $118.56 / $118.56	Professional		$42.56	$118.56	$118.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $64.42 / $237.12	Facility		$59.28	$64.42	$237.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $69.80 / $87.25	Professional		$7.30	$69.80	$87.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $57.15 / $124.49	Facility		$13.02	$57.15	$124.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $72.95	Professional		$60.80	$60.80	$72.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Professional		$60.80	$60.80	$60.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $106.40 / $218.88	Facility		$39.65	$106.40	$218.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $104.18 / $107.15	Professional		$51.68	$104.18	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $19.73 / $36.47	Professional		$7.14	$19.73	$36.47