Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.79 / $105.79 / $152.41	Facility		$105.79	$105.79	$152.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $114.31 / $114.31	Professional		$41.03	$114.31	$114.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $121.92 / $228.60	Facility		$45.72	$121.92	$228.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $43.70 / $97.22	Professional		$26.31	$43.70	$97.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $87.93 / $125.74	Facility		$70.53	$87.93	$125.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $58.62 / $73.28	Professional		$58.62	$58.62	$73.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $52.76 / $114.31	Professional		$44.85	$52.76	$114.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.93 / $125.32 / $211.03	Facility		$87.93	$125.32	$211.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $103.05 / $103.05	Professional		$93.32	$103.05	$103.05
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $25.48 / $70.51	Professional		$24.62	$25.48	$70.51