Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $802.00 / $802.00	Facility		$802.00	$802.00	$802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.65 / $242.48 / $275.00	Professional		$150.65	$242.48	$275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $228.57 / $273.04	Facility		$110.60	$228.57	$273.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.60 / $358.60 / $393.51	Professional		$358.60	$358.60	$393.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.83 / $242.48 / $275.00	Facility		$192.83	$242.48	$275.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $569.72 / $569.72 / $569.72	Professional		$569.72	$569.72	$569.72
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 $156.94 / $243.29 / $437.82	Facility		$156.94	$243.29	$437.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.67 / $339.30 / $339.30	Professional		$253.67	$339.30	$339.30
United Facility/Professional Professional Modifier Low / Median / High Price $176.20 / $219.79 / $414.13	Professional		$176.20	$219.79	$414.13