Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $112.82 / $164.86	Facility		$51.31	$112.82	$164.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $88.90	Professional		$51.31	$51.31	$88.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.10 / $200.10 / $200.10	Facility		$200.10	$200.10	$200.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $40.84 / $93.64	Professional		$23.88	$40.84	$93.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $73.37 / $174.52	Facility		$51.31	$73.37	$174.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $52.34 / $61.57	Professional		$51.31	$52.34	$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 / $102.62 / $184.72	Facility		$76.97	$102.62	$184.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $90.17 / $90.17	Professional		$87.88	$90.17	$90.17
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $59.01	Professional		$30.79	$30.79	$59.01