Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $297.52	Facility		$114.43	$114.43	$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 $89.26 / $238.02 / $446.28	Facility		$89.26	$238.02	$446.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.68 / $223.14 / $245.45	Facility		$137.68	$223.14	$245.45
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 $30.00 / $30.00 / $223.14	Professional		$30.00	$30.00	$223.14
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 $171.14 / $171.14 / $182.06	Professional		$171.14	$171.14	$182.06
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $131.59	Professional		$48.06	$48.06	$131.59