Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.10 / $193.10 / $689.03	Facility		$193.10	$193.10	$689.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $64.64 / $120.59	Professional		$26.22	$64.64	$120.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.72 / $59.47 / $59.47	Facility		$55.72	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $71.75	Professional		$43.41	$43.41	$71.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $62.58 / $120.59	Facility		$25.75	$62.58	$120.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $84.41 / $88.85	Professional		$79.97	$84.41	$88.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $88.85 / $155.49	Professional		$64.03	$88.85	$155.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.80 / $86.77 / $130.16	Facility		$77.80	$86.77	$130.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $62.20 / $93.29	Professional		$62.20	$62.20	$93.29
United Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $39.89 / $68.29	Professional		$36.88	$39.89	$68.29