Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.61 / $315.61 / $449.88	Facility		$315.61	$315.61	$449.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $337.41 / $337.41	Professional		$121.12	$337.41	$337.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.82 / $674.82 / $674.82	Facility		$674.82	$674.82	$674.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $199.07 / $248.83	Professional		$164.32	$199.07	$248.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.38 / $337.41 / $357.65	Facility		$164.38	$337.41	$357.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $207.64	Professional		$173.03	$173.03	$207.64
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 $259.55 / $346.06 / $622.91	Facility		$259.55	$346.06	$622.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $258.70 / $267.45	Professional		$147.08	$258.70	$267.45
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $72.67 / $207.64	Professional		$72.67	$72.67	$207.64