Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $95.00 / $279.62	Facility		$56.00	$95.00	$279.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $207.37	Professional		$73.48	$73.48	$207.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.14 / $274.14 / $274.14	Facility		$274.14	$274.14	$274.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $80.84 / $105.44	Facility		$73.48	$80.84	$105.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $73.80 / $84.35	Professional		$70.29	$73.80	$84.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $63.26 / $137.07	Professional		$30.00	$63.26	$137.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.39 / $142.82 / $253.04	Facility		$99.39	$142.82	$253.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $123.54 / $123.54	Professional		$123.54	$123.54	$123.54
United Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $34.40 / $86.46	Professional		$32.45	$34.40	$86.46