Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.75 / $197.48 / $268.47	Facility		$95.75	$197.48	$268.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $111.96 / $197.48	Professional		$79.98	$111.96	$197.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $177.02 / $331.92	Facility		$66.38	$177.02	$331.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $63.47 / $156.27	Professional		$52.32	$63.47	$156.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.39 / $158.44 / $189.37	Facility		$102.39	$158.44	$189.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $86.80 / $106.38	Professional		$85.10	$86.80	$106.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $76.59 / $165.95	Professional		$65.09	$76.59	$165.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.65 / $191.48 / $313.17	Facility		$127.65	$191.48	$313.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $149.88 / $167.17	Professional		$146.08	$149.88	$167.17
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $50.62 / $174.14	Professional		$35.74	$50.62	$174.14