Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.39 / $207.57 / $249.95	Facility		$123.39	$207.57	$249.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $89.70 / $174.43	Professional		$43.78	$89.70	$174.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $78.06 / $78.28	Facility		$78.06	$78.06	$78.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $94.32 / $147.19	Professional		$59.36	$94.32	$147.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $104.27 / $191.87	Facility		$51.30	$104.27	$191.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $134.16 / $183.08	Professional		$85.93	$134.16	$183.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $145.76 / $162.41	Professional		$32.34	$145.76	$162.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $284.05 / $391.60 / $486.11	Facility		$284.05	$391.60	$486.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $120.84 / $183.41	Professional		$89.51	$120.84	$183.41
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,800.00 / $9,193.00	Facility		$150.00	$1,800.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $124.55 / $176.37	Professional		$90.44	$124.55	$176.37