Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.39 / $309.39 / $309.39	Facility		$309.39	$309.39	$309.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $249.04 / $249.04	Professional		$128.44	$249.04	$249.04
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 $147.91 / $195.29 / $303.37	Professional		$147.91	$195.29	$303.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $257.67 / $356.13	Facility		$158.72	$257.67	$356.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $211.14 / $282.02	Professional		$199.07	$211.14	$282.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $215.48	Professional		$32.34	$32.34	$215.48
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 $234.31 / $254.82 / $286.60	Professional		$234.31	$254.82	$286.60
United Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $136.41 / $291.68	Professional		$133.94	$136.41	$291.68