Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.59 / $220.59 / $317.77	Facility		$220.59	$220.59	$317.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $238.33 / $238.33	Professional		$85.55	$238.33	$238.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $254.21 / $476.64	Facility		$95.33	$254.21	$476.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $91.04 / $224.86	Professional		$63.72	$91.04	$224.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.06 / $238.33 / $262.16	Facility		$147.06	$238.33	$262.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $122.22 / $146.66	Professional		$122.22	$122.22	$146.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $110.00 / $238.33	Professional		$93.50	$110.00	$238.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $183.33 / $275.00 / $449.77	Facility		$183.33	$275.00	$449.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $214.88 / $239.88	Professional		$210.10	$214.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $63.37 / $173.52	Professional		$51.33	$63.37	$173.52