Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.90 / $322.00 / $380.46	Facility		$179.90	$322.00	$380.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $225.16 / $319.72	Professional		$114.77	$225.16	$319.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.88 / $341.02 / $639.41	Facility		$127.88	$341.02	$639.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $143.83 / $301.80	Professional		$122.25	$143.83	$301.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.27 / $319.72 / $351.69	Facility		$197.27	$319.72	$351.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $163.96 / $196.75	Professional		$163.96	$163.96	$196.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.43 / $147.56 / $319.72	Professional		$125.43	$147.56	$319.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.94 / $368.91 / $603.37	Facility		$245.94	$368.91	$603.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.69 / $288.64 / $321.75	Professional		$281.69	$288.64	$321.75
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $93.95 / $223.69	Professional		$68.86	$93.95	$223.69