Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.90 / $139.90 / $142.57	Facility		$139.90	$139.90	$142.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $111.39 / $172.94	Professional		$91.68	$111.39	$172.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $98.00 / $145.51	Professional		$77.37	$98.00	$145.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $100.54 / $141.08	Facility		$34.51	$100.54	$141.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $136.63 / $165.62	Professional		$92.75	$136.63	$165.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.05	Professional		$32.34	$32.34	$122.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.40 / $126.83 / $188.61	Facility		$117.40	$126.83	$188.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $126.37 / $141.76	Professional		$107.41	$126.37	$141.76
United Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $119.04 / $158.41	Professional		$87.84	$119.04	$158.41