Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.89 / $258.89 / $258.89	Facility		$258.89	$258.89	$258.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $209.51 / $209.51	Professional		$107.88	$209.51	$209.51
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 $124.76 / $164.74 / $244.03	Professional		$124.76	$164.74	$244.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.02 / $222.08 / $306.73	Facility		$165.02	$222.08	$306.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $176.61 / $241.18	Professional		$166.52	$176.61	$241.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $180.30	Professional		$32.34	$32.34	$180.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $662.07 / $997.95 / $1,414.69	Facility		$662.07	$997.95	$1,414.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.85 / $213.04 / $241.19	Professional		$196.85	$213.04	$241.19
United Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $115.35 / $236.88	Professional		$92.64	$115.35	$236.88