Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $99.57 / $99.57	Facility		$99.57	$99.57	$99.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $102.89 / $114.40	Professional		$52.79	$102.89	$114.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $139.08	Facility		$139.08	$139.08	$139.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $139.08	Professional		$101.53	$101.53	$139.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $70.19 / $119.22	Facility		$56.24	$70.19	$119.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $172.49	Professional		$30.00	$55.00	$172.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.26 / $225.68 / $264.22	Facility		$169.26	$225.68	$264.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $123.40 / $123.40	Professional		$123.40	$123.40	$123.40
United Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $73.40 / $121.38	Professional		$69.23	$73.40	$121.38