Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.07 / $87.07 / $125.42	Facility		$87.07	$87.07	$125.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $94.07 / $94.07	Professional		$33.77	$94.07	$94.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $100.35 / $188.16	Facility		$37.63	$100.35	$188.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $35.90 / $79.92	Professional		$21.60	$35.90	$79.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.05 / $72.36 / $99.71	Facility		$58.05	$72.36	$99.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $50.65 / $61.50	Professional		$48.24	$50.65	$61.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $43.42 / $94.07	Professional		$36.90	$43.42	$94.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $102.68 / $173.66	Facility		$72.36	$102.68	$173.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $84.90 / $84.90	Professional		$76.72	$84.90	$84.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.88 / $57.77	Professional		$20.26	$20.88	$57.77