Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.09 / $192.00 / $253.45	Facility		$114.09	$192.00	$253.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $91.82 / $126.69	Professional		$67.17	$91.82	$126.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $75.00	Facility		$70.00	$70.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $92.41 / $111.31	Professional		$71.93	$92.41	$111.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $97.80 / $169.92	Facility		$83.30	$97.80	$169.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $165.99 / $201.20	Professional		$112.67	$165.99	$201.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $166.86	Professional		$32.34	$32.34	$166.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $126.49 / $151.79 / $223.65	Facility		$126.49	$151.79	$223.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $108.83 / $144.81	Professional		$92.51	$108.83	$144.81
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $92.75 / $92.75	Professional		$75.22	$92.75	$92.75