Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $273.00 / $430.32	Facility		$39.60	$273.00	$430.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $114.43 / $223.14	Professional		$67.95	$114.43	$223.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.57 / $121.24 / $446.28	Facility		$111.57	$121.24	$446.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $108.67 / $149.53	Professional		$60.16	$108.67	$149.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.56 / $223.14 / $374.39	Facility		$107.56	$223.14	$374.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $137.32	Professional		$114.43	$114.43	$137.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $228.86 / $411.95	Facility		$171.65	$228.86	$411.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $171.14 / $176.91	Professional		$97.27	$171.14	$176.91
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $48.06 / $127.90	Professional		$33.57	$48.06	$127.90