Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.95 / $423.95 / $423.95	Facility		$423.95	$423.95	$423.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.61 / $396.41 / $396.41	Professional		$200.61	$396.41	$396.41
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 $160.32 / $315.08 / $340.32	Professional		$160.32	$315.08	$340.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $322.94 / $550.66	Facility		$109.65	$322.94	$550.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $290.95 / $332.52	Professional		$274.33	$290.95	$332.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $295.25	Professional		$32.34	$32.34	$295.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $682.49 / $997.95 / $1,414.69	Facility		$682.49	$997.95	$1,414.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $374.02 / $387.71 / $454.25	Professional		$374.02	$387.71	$454.25
United Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $212.80 / $374.56	Professional		$150.16	$212.80	$374.56