Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.87 / $175.87 / $175.87	Facility		$175.87	$175.87	$175.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $140.66 / $140.66	Professional		$72.88	$140.66	$140.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.42 / $1,065.22 / $1,272.80	Facility		$515.42	$1,065.22	$1,272.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $110.08 / $171.27	Professional		$81.59	$110.08	$171.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.25 / $144.49 / $197.42	Facility		$88.25	$144.49	$197.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $121.14 / $158.79	Professional		$114.21	$121.14	$158.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $32.34 / $122.48	Professional		$17.07	$32.34	$122.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $779.30 / $1,080.67 / $1,570.48	Facility		$779.30	$1,080.67	$1,570.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.99 / $145.22 / $162.40	Professional		$133.99	$145.22	$162.40
United Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $83.09 / $165.06	Professional		$62.58	$83.09	$165.06