Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.53 / $204.71 / $2,362.80	Facility		$153.53	$204.71	$2,362.80
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $395.20 / $1,695.76 / $7,054.14	Facility	25	$395.20	$1,695.76	$7,054.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $142.01 / $280.42	Professional		$94.00	$142.01	$280.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $99.38 / $274.23 / $547.77	Professional	25	$99.38	$274.23	$547.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $185.68 / $237.90	Professional		$120.74	$185.68	$237.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $170.60 / $218.29	Facility		$115.96	$170.60	$218.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $209.56 / $232.90	Professional		$192.14	$209.56	$232.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $213.92	Professional		$32.34	$32.34	$213.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $864.54 / $864.54 / $864.54	Facility		$864.54	$864.54	$864.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.81 / $178.60 / $217.48	Professional		$151.81	$178.60	$217.48
United Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $155.47 / $212.32	Professional		$121.32	$155.47	$212.32