Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $125.07 / $125.07	Professional		$56.28	$125.07	$125.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $89.58	Facility		$81.70	$81.70	$89.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $87.10	Professional		$59.64	$81.70	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $100.60 / $142.83	Facility		$42.11	$100.60	$142.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $135.69 / $142.83	Professional		$128.55	$135.69	$142.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $105.41 / $125.53	Professional		$30.00	$105.41	$125.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $139.47 / $209.22	Facility		$125.07	$139.47	$209.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $103.61 / $149.97	Professional		$99.98	$103.61	$149.97
United Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $65.23 / $103.45	Professional		$60.31	$65.23	$103.45