Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.84 / $473.84 / $473.84	Facility		$473.84	$473.84	$473.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $393.94 / $393.94	Professional		$210.72	$393.94	$393.94
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 $195.76 / $318.58 / $356.86	Professional		$195.76	$318.58	$356.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.27 / $393.94 / $563.33	Facility		$227.27	$393.94	$563.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $304.76 / $323.23 / $387.89	Professional		$304.76	$323.23	$387.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $253.17	Professional		$32.34	$32.34	$253.17
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 $371.48 / $395.93 / $454.95	Professional		$371.48	$395.93	$454.95
United Facility/Professional Professional Modifier Low / Median / High Price $164.04 / $218.86 / $399.85	Professional		$164.04	$218.86	$399.85