Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.44 / $171.44 / $246.97	Facility		$171.44	$171.44	$246.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $185.23 / $185.23	Professional		$66.48	$185.23	$185.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $197.57 / $370.44	Facility		$74.09	$197.57	$370.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $83.24 / $157.46	Professional		$70.75	$83.24	$157.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.29 / $185.23 / $203.75	Facility		$114.29	$185.23	$203.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $94.99 / $113.99	Professional		$94.99	$94.99	$113.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $85.49 / $185.23	Professional		$72.67	$85.49	$185.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.49 / $189.98 / $341.96	Facility		$142.49	$189.98	$341.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $166.87 / $166.87	Professional		$151.13	$166.87	$166.87
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $142.49	Professional		$39.90	$39.90	$142.49