Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.80 / $272.80 / $272.80	Facility		$272.80	$272.80	$272.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $221.60 / $221.60	Professional		$114.01	$221.60	$221.60
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 $137.07 / $174.24 / $255.24	Professional		$137.07	$174.24	$255.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.62 / $234.90 / $364.25	Facility		$173.62	$234.90	$364.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $185.68 / $254.32	Professional		$175.07	$185.68	$254.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $189.99	Professional		$32.34	$32.34	$189.99
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 $207.01 / $224.68 / $254.32	Professional		$207.01	$224.68	$254.32
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $121.22 / $253.89	Professional		$97.86	$121.22	$253.89