Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.78 / $378.78 / $378.78	Facility		$378.78	$378.78	$378.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $325.51 / $325.51	Professional		$175.00	$325.51	$325.51
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 $182.62 / $264.26 / $399.91	Professional		$182.62	$264.26	$399.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.22 / $305.08 / $387.92	Facility		$125.22	$305.08	$387.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.98 / $265.88 / $304.14	Professional		$244.98	$265.88	$304.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $263.80	Professional		$32.34	$32.34	$263.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $731.61 / $997.95 / $1,414.69	Facility		$731.61	$997.95	$1,414.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $317.83 / $366.18	Professional		$300.99	$317.83	$366.18
United Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $179.95 / $391.85	Professional		$149.69	$179.95	$391.85