Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $203.30 / $347.65	Facility		$51.30	$203.30	$347.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $83.95 / $136.88	Professional		$65.98	$83.95	$136.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $146.02 / $273.77	Facility		$54.76	$146.02	$273.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $52.28 / $128.83	Professional		$43.19	$52.28	$128.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.47 / $130.69 / $154.55	Facility		$84.47	$130.69	$154.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $71.59 / $87.75	Professional		$70.20	$71.59	$87.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.18 / $136.88	Professional		$53.70	$63.18	$136.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $105.30 / $157.94 / $258.33	Facility		$105.30	$157.94	$258.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $123.54 / $137.97	Professional		$120.47	$123.54	$137.97
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $41.76 / $115.55	Professional		$29.48	$41.76	$115.55