Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.67 / $200.80 / $254.22	Facility		$118.67	$200.80	$254.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $118.67 / $202.87	Professional		$40.17	$118.67	$202.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.18 / $143.22 / $213.35	Professional	25	$78.18	$143.22	$213.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $121.23 / $159.76	Facility		$108.88	$121.23	$159.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $221.32 / $252.94	Professional		$201.50	$221.32	$252.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.34 / $231.41	Professional		$30.00	$32.34	$231.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $195.23 / $195.23	Facility		$162.69	$195.23	$195.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.34 / $194.52 / $200.99	Professional		$165.34	$194.52	$200.99
United Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $158.00 / $207.60	Professional		$120.62	$158.00	$207.60