Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.03 / $266.04 / $316.97	Facility		$220.03	$266.04	$316.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $114.60 / $114.60	Professional		$114.60	$114.60	$114.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $253.57 / $475.44	Facility		$95.09	$253.57	$475.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $237.72 / $261.49	Facility		$146.69	$237.72	$261.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $124.35 / $146.29	Professional		$121.91	$124.35	$146.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $182.87 / $243.82 / $438.88	Facility		$182.87	$243.82	$438.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $182.09 / $182.09 / $188.42	Professional		$182.09	$182.09	$188.42
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $63.22 / $173.10	Professional		$51.20	$63.22	$173.10