Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $92.60 / $133.41	Facility		$92.60	$92.60	$133.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $67.52 / $100.05	Professional		$35.92	$67.52	$100.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $106.72 / $200.10	Facility		$40.02	$106.72	$200.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $38.24 / $94.24	Professional		$31.48	$38.24	$94.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.73 / $100.05 / $143.07	Facility		$61.73	$100.05	$143.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $61.57	Professional		$51.31	$51.31	$61.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $46.18 / $100.05	Professional		$39.25	$46.18	$100.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.97 / $115.45 / $188.82	Facility		$76.97	$115.45	$188.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $90.17 / $100.76	Professional		$87.88	$90.17	$100.76
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.53 / $105.02	Professional		$21.55	$30.53	$105.02