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 $172.32 / $195.29 / $303.99	Professional		$172.32	$195.29	$303.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.72 / $348.47 / $576.09	Facility		$195.72	$348.47	$576.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $211.14 / $286.60	Professional		$199.07	$211.14	$286.60
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 $609.10 / $982.43 / $1,414.69	Facility		$609.10	$982.43	$1,414.69
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 $136.21 / $155.47 / $315.81	Professional		$136.21	$155.47	$315.81