Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $115.53 / $115.53	Professional		$69.31	$115.53	$115.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $110.33	Facility		$103.32	$103.32	$110.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $110.15	Professional		$75.42	$103.32	$110.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $104.11 / $165.21	Facility		$42.49	$104.11	$165.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $125.34 / $131.94	Professional		$118.75	$125.34	$131.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $98.57 / $118.75	Professional		$30.00	$98.57	$118.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $128.84 / $193.26	Facility		$115.53	$128.84	$193.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $96.32 / $138.54	Professional		$92.36	$96.32	$138.54
United Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $65.81 / $103.26	Professional		$60.86	$65.81	$103.26