Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.51 / $282.24 / $549.12	Facility		$219.51	$282.24	$549.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $167.03 / $237.18	Professional		$85.14	$167.03	$237.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.87 / $252.99 / $474.36	Facility		$94.87	$252.99	$474.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $90.78 / $223.67	Professional		$70.41	$90.78	$223.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.34 / $237.18 / $260.89	Facility		$146.34	$237.18	$260.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $121.63 / $145.96	Professional		$121.63	$121.63	$145.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $109.47 / $237.18	Professional		$93.05	$109.47	$237.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $273.67 / $447.60	Facility		$182.45	$273.67	$447.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.94 / $213.71 / $238.73	Professional		$208.94	$213.71	$238.73
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $69.59 / $165.68	Professional		$51.08	$69.59	$165.68