Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.52 / $206.52 / $297.52	Facility		$206.52	$206.52	$297.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $223.14 / $223.14	Professional		$80.09	$223.14	$223.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.57 / $121.24 / $446.28	Facility		$111.57	$121.24	$446.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.67 / $131.75 / $164.68	Professional		$108.67	$131.75	$164.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.56 / $223.14 / $236.53	Facility		$107.56	$223.14	$236.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $137.32	Professional		$114.43	$114.43	$137.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $228.86 / $411.95	Facility		$171.65	$228.86	$411.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $171.14 / $176.91	Professional		$97.27	$171.14	$176.91
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $137.32	Professional		$48.06	$48.06	$137.32