Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.40 / $170.40 / $264.35	Facility		$170.40	$170.40	$264.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $88.62 / $141.61	Professional		$80.56	$88.62	$141.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.28 / $256.85 / $290.25	Facility		$124.28	$256.85	$290.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.60 / $183.94 / $197.19	Facility		$113.60	$183.94	$197.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $99.13 / $118.02	Professional		$94.41	$99.13	$118.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $84.97 / $184.10	Professional		$72.22	$84.97	$184.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.62 / $197.07 / $339.88	Facility		$141.62	$197.07	$339.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.17 / $179.46 / $194.54	Professional		$177.17	$179.46	$194.54
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $40.07 / $147.02	Professional		$39.65	$40.07	$147.02