Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.86 / $169.86 / $169.86	Facility		$169.86	$169.86	$169.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.21 / $138.63 / $147.02	Professional		$115.21	$138.63	$147.02
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 $97.53 / $134.02 / $192.14	Professional		$97.53	$134.02	$192.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.42 / $105.86 / $157.01	Facility		$70.42	$105.86	$157.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $166.52 / $201.84	Professional		$113.03	$166.52	$201.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $148.06	Professional		$32.34	$32.34	$148.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.35 / $154.79 / $229.61	Facility		$151.35	$154.79	$229.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $154.22 / $171.98	Professional		$131.10	$154.22	$171.98
United Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $147.01 / $187.11	Professional		$106.08	$147.01	$187.11