Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.80 / $387.80 / $387.80	Facility		$387.80	$387.80	$387.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $179.67 / $202.27	Professional		$166.26	$179.67	$202.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $367.78 / $603.27	Facility		$148.86	$367.78	$603.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.58 / $469.98	Professional		$52.58	$52.58	$469.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $169.59 / $237.75	Facility		$31.00	$169.59	$237.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $83.10 / $83.10	Professional		$83.10	$83.10	$83.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $208.18 / $290.93 / $356.44	Facility		$208.18	$290.93	$356.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $49.75 / $205.67	Professional		$42.29	$49.75	$205.67
United Facility/Professional Professional Modifier Low / Median / High Price $183.12 / $204.44 / $365.84	Professional		$183.12	$204.44	$365.84