Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $82.94 / $225.00	Facility		$82.94	$82.94	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.95 / $150.00 / $252.07	Professional		$109.95	$150.00	$252.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.30 / $252.07 / $289.88	Facility		$112.30	$252.07	$289.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $107.82 / $107.82	Professional		$107.82	$107.82	$107.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.04 / $161.72	Professional		$32.34	$67.04	$161.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $457.47 / $733.57 / $951.01	Facility		$457.47	$733.57	$951.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $160.19 / $169.79	Professional		$136.16	$160.19	$169.79
United Facility/Professional Professional Modifier Low / Median / High Price $177.55 / $250.09 / $336.53	Professional		$177.55	$250.09	$336.53