Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $119.68 / $151.40	Facility		$90.60	$119.68	$151.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $85.20 / $85.20 / $85.20	Facility	25	$85.20	$85.20	$85.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $137.61 / $246.46	Professional		$105.15	$137.61	$246.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $261.39 / $261.39 / $261.39	Professional	25	$261.39	$261.39	$261.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.12 / $147.63 / $188.98	Facility		$119.12	$147.63	$188.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $251.66 / $321.52	Professional		$207.62	$251.66	$321.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.34 / $295.23	Professional		$30.00	$32.34	$295.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $150.38 / $268.02 / $416.39	Facility		$150.38	$268.02	$416.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $210.60 / $247.76	Professional		$177.74	$210.60	$247.76
United Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $224.63 / $298.32	Professional		$160.30	$224.63	$298.32