Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $144.91	Facility		$100.61	$100.61	$144.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $108.69 / $108.69	Professional		$39.02	$108.69	$108.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $115.94 / $217.38	Facility		$43.48	$115.94	$217.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.62 / $92.45	Professional		$25.70	$41.62	$92.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $83.61 / $115.21	Facility		$67.06	$83.61	$115.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $55.74 / $69.68	Professional		$55.74	$55.74	$69.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $50.17 / $108.69	Professional		$42.64	$50.17	$108.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.61 / $122.16 / $200.66	Facility		$83.61	$122.16	$200.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $97.78 / $97.78	Professional		$88.74	$97.78	$97.78
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $24.83 / $91.14	Professional		$23.41	$24.83	$91.14