Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $202.80 / $663.00	Facility		$150.00	$202.80	$663.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $281.99 / $281.99	Professional		$101.23	$281.99	$281.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $300.80 / $564.00	Facility		$112.80	$300.80	$564.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $107.69 / $239.17	Professional		$76.65	$107.69	$239.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.99 / $232.13 / $298.91	Facility		$173.99	$232.13	$298.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $144.61 / $180.76	Professional		$144.61	$144.61	$180.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $130.15 / $281.99	Professional		$110.63	$130.15	$281.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $325.37 / $532.16	Facility		$216.92	$325.37	$532.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $254.11 / $254.11	Professional		$244.46	$254.11	$254.11
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $105.92 / $205.18	Professional		$86.77	$105.92	$205.18