Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.37 / $142.90 / $253.45	Facility		$113.37	$142.90	$253.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $86.97 / $114.00	Professional		$58.45	$86.97	$114.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $75.00 / $100.00	Facility		$70.00	$75.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $95.05 / $109.09	Professional		$64.14	$95.05	$109.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $100.03 / $217.68	Facility		$83.70	$100.03	$217.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.77 / $161.72 / $196.02	Professional		$109.77	$161.72	$196.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.75	Professional		$32.34	$32.34	$162.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $150.30 / $223.65	Facility		$125.25	$150.30	$223.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $107.76 / $144.81	Professional		$91.60	$107.76	$144.81
United Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $87.70 / $90.18	Professional		$77.61	$87.70	$90.18