Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.74 / $291.74 / $415.87	Facility		$291.74	$291.74	$415.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $311.89 / $311.89	Professional		$111.97	$311.89	$311.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.82 / $623.82 / $623.82	Facility		$623.82	$623.82	$623.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $183.79 / $229.73	Professional		$151.90	$183.79	$229.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $311.89 / $330.61	Facility		$151.94	$311.89	$330.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $159.94 / $191.94	Professional		$159.94	$159.94	$191.94
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 $239.93 / $319.89 / $575.82	Facility		$239.93	$319.89	$575.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $239.30 / $247.04	Professional		$135.96	$239.30	$247.04
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $95.97 / $191.94	Professional		$67.18	$95.97	$191.94