Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.94 / $482.94 / $482.94	Facility		$482.94	$482.94	$482.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.22 / $402.76 / $402.76	Professional		$217.22	$402.76	$402.76
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 $198.61 / $327.08 / $408.39	Professional		$198.61	$327.08	$408.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.68 / $368.81 / $426.93	Facility		$179.68	$368.81	$426.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $311.69 / $330.58 / $377.80	Professional		$311.69	$330.58	$377.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $336.34	Professional		$32.34	$32.34	$336.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $731.61 / $1,051.65 / $1,450.06	Facility		$731.61	$1,051.65	$1,450.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $380.37 / $404.84 / $463.97	Professional		$380.37	$404.84	$463.97
United Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $230.28 / $412.07	Professional		$184.59	$230.28	$412.07