Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $164.53 / $217.09	Professional		$119.05	$164.53	$217.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $163.69	Facility		$122.31	$122.31	$163.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $130.38	Professional		$89.29	$122.31	$130.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $154.46 / $235.28	Facility		$63.04	$154.46	$235.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.16 / $185.94 / $195.73	Professional		$176.16	$185.94	$195.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $144.45 / $172.04	Professional		$30.00	$144.45	$172.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.39 / $191.15 / $286.73	Facility		$171.39	$191.15	$286.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $142.88 / $205.52	Professional		$137.01	$142.88	$205.52
United Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $97.65 / $151.68	Professional		$90.29	$97.65	$151.68