Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.07 / $242.00 / $242.00	Professional		$139.07	$242.00	$242.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $221.36	Facility		$165.40	$165.40	$221.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.40 / $176.33	Professional		$120.74	$165.40	$176.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $194.69 / $276.37	Facility		$85.25	$194.69	$276.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $248.73 / $262.55 / $276.37	Professional		$248.73	$262.55	$276.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $206.47 / $248.73	Professional		$30.00	$206.47	$248.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $242.00 / $269.89 / $404.84	Facility		$242.00	$269.89	$404.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.46 / $201.75 / $290.19	Professional		$193.46	$201.75	$290.19
United Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $132.05 / $203.50	Professional		$122.10	$132.05	$203.50