Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.90 / $113.37 / $199.20	Facility		$109.90	$113.37	$199.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $86.97 / $110.24	Professional		$57.12	$86.97	$110.24
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 $81.18 / $95.57 / $122.33	Facility		$81.18	$95.57	$122.33
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 / $83.31 / $90.18	Professional		$77.61	$83.31	$90.18