Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $104.68 / $150.80	Facility		$104.68	$104.68	$150.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $54.52 / $113.10	Professional		$23.42	$54.52	$113.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $120.64 / $226.20	Facility		$45.24	$120.64	$226.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $43.18 / $96.03	Professional		$12.32	$43.18	$96.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.03 / $69.79 / $124.41	Facility		$35.03	$69.79	$124.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $69.59	Professional		$58.00	$58.00	$69.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $52.20 / $113.10	Professional		$44.37	$52.20	$113.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $102.34 / $208.80	Facility		$68.23	$102.34	$208.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $101.88 / $101.88	Professional		$92.17	$101.88	$101.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $24.36 / $41.04	Professional		$11.93	$24.36	$41.04