Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $203.46 / $304.05	Facility		$23.20	$203.46	$304.05
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $23.48 / $23.48 / $23.48	Facility	25	$23.48	$23.48	$23.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $164.15 / $255.51	Professional		$112.03	$164.15	$255.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $149.58 / $149.58 / $253.24	Professional	25	$149.58	$149.58	$253.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.10 / $232.05 / $331.71	Professional		$184.10	$232.05	$331.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $188.50 / $281.06	Facility		$124.12	$188.50	$281.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.50 / $268.48 / $402.40	Professional		$221.50	$268.48	$402.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $188.50 / $367.58	Professional		$152.00	$188.50	$367.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.36 / $297.24 / $403.07	Facility		$230.36	$297.24	$403.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $202.38 / $244.11 / $351.88	Professional		$202.38	$244.11	$351.88
United Facility/Professional Professional Modifier Low / Median / High Price $175.57 / $221.72 / $296.51	Professional		$175.57	$221.72	$296.51