Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $180.85 / $3,888.62	Facility		$159.57	$180.85	$3,888.62
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $589.50 / $589.50 / $589.50	Facility	25	$589.50	$589.50	$589.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $121.05 / $400.00	Professional		$95.29	$121.05	$400.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $97.06 / $190.60 / $863.87	Professional	25	$97.06	$190.60	$863.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $176.10 / $227.17	Professional		$110.72	$176.10	$227.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.95 / $152.78 / $199.49	Facility		$103.95	$152.78	$199.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $195.43 / $230.96	Professional		$169.72	$195.43	$230.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $211.59	Professional		$32.34	$32.34	$211.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $178.11 / $213.83	Professional		$151.38	$178.11	$213.83
United Facility/Professional Professional Modifier Low / Median / High Price $129.87 / $171.99 / $222.93	Professional		$129.87	$171.99	$222.93
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $90.00	Professional	25	$80.00	$80.00	$90.00