Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.10 / $151.10 / $254.40	Facility		$151.10	$151.10	$254.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $154.72 / $270.08	Professional		$115.53	$154.72	$270.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $115.53 / $176.17 / $261.45	Professional	25	$115.53	$176.17	$261.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.28 / $162.40 / $203.03	Facility		$141.28	$162.40	$203.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.73 / $280.77 / $320.88	Professional		$264.73	$280.77	$320.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.34 / $294.64	Professional		$30.00	$32.34	$294.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $206.80 / $248.16 / $248.16	Facility		$206.80	$248.16	$248.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $210.17 / $247.26 / $256.99	Professional		$210.17	$247.26	$256.99
United Facility/Professional Professional Modifier Low / Median / High Price $176.04 / $236.92 / $308.06	Professional		$176.04	$236.92	$308.06