Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.35 / $254.35 / $254.35	Facility		$254.35	$254.35	$254.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $205.74 / $205.74	Professional		$105.71	$205.74	$205.74
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 $121.03 / $161.25 / $183.78	Professional		$121.03	$161.25	$183.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.11 / $218.08 / $322.25	Facility		$162.11	$218.08	$322.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $173.78 / $236.88	Professional		$163.85	$173.78	$236.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $177.14	Professional		$32.34	$32.34	$177.14
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 $193.68 / $208.93 / $236.88	Professional		$193.68	$208.93	$236.88
United Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $112.48 / $201.29	Professional		$90.81	$112.48	$201.29