Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $108.49 / $952.59	Facility		$81.37	$108.49	$952.59
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $489.60 / $805.86 / $998.40	Facility	25	$489.60	$805.86	$998.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $76.30 / $210.00	Professional		$54.25	$76.30	$210.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $62.51 / $149.41 / $325.22	Professional	25	$62.51	$149.41	$325.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $107.15 / $131.97	Professional		$70.12	$107.15	$131.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $94.92 / $115.72	Facility		$66.90	$94.92	$115.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $114.08 / $136.50	Professional		$97.80	$114.08	$136.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.62	Professional		$32.34	$32.34	$125.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $513.83 / $513.83 / $513.83	Facility		$513.83	$513.83	$513.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $104.97 / $128.62	Professional		$89.22	$104.97	$128.62
United Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $84.63 / $111.52	Professional		$65.48	$84.63	$111.52