Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.54 / $1,062.40 / $1,086.40	Facility		$134.54	$1,062.40	$1,086.40
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $67.27 / $67.27 / $166.57	Facility	52	$67.27	$67.27	$166.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $217.12 / $271.22	Professional		$86.26	$217.12	$271.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $159.87 / $325.24	Professional		$101.81	$159.87	$325.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $175.66 / $334.63	Facility		$89.69	$175.66	$334.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $254.05 / $307.94	Professional		$122.22	$254.05	$307.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $220.39 / $277.27	Professional		$32.34	$220.39	$277.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $610.51 / $761.52 / $1,109.29	Facility		$610.51	$761.52	$1,109.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $197.13 / $286.14	Professional		$106.45	$197.13	$286.14
United Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $252.45 / $345.45	Professional		$187.00	$252.45	$345.45