Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $202.18 / $291.25	Facility		$202.18	$202.18	$291.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $105.30 / $105.30	Professional		$78.41	$105.30	$105.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $118.68 / $436.86	Facility		$87.37	$118.68	$436.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $128.44 / $160.55	Professional		$106.38	$128.44	$160.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.30 / $218.44 / $231.55	Facility		$105.30	$218.44	$231.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $112.02 / $134.41	Professional		$112.02	$112.02	$134.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $78.00	Professional		$55.00	$55.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $168.03 / $224.04 / $403.27	Facility		$168.03	$224.04	$403.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $167.66 / $173.25	Professional		$95.22	$167.66	$173.25
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $47.05 / $134.41	Professional		$47.05	$47.05	$134.41