Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.20 / $165.44 / $241.84	Facility		$124.20	$165.44	$241.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $127.50 / $180.00	Professional		$102.13	$127.50	$180.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $442.00 / $442.00 / $442.00	Professional	25	$442.00	$442.00	$442.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $142.26 / $247.93	Professional		$68.00	$142.26	$247.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.43 / $146.97 / $189.68	Facility		$123.43	$146.97	$189.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.02 / $254.58 / $308.58	Professional		$222.02	$254.58	$308.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $149.74 / $291.99	Professional		$32.34	$149.74	$291.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $103.16 / $103.16 / $103.16	Facility		$103.16	$103.16	$103.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $156.51 / $249.30	Professional		$119.68	$156.51	$249.30
United Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $148.96 / $212.60	Professional		$109.79	$148.96	$212.60