Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.57 / $304.57 / $438.75	Facility		$304.57	$304.57	$438.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $329.06 / $329.06	Professional		$118.13	$329.06	$329.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.63 / $351.01 / $658.14	Facility		$131.63	$351.01	$658.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $148.11 / $279.14	Professional		$125.89	$148.11	$279.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.05 / $329.06 / $361.97	Facility		$203.05	$329.06	$361.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $168.75 / $202.50	Professional		$168.75	$168.75	$202.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $151.88 / $329.06	Professional		$129.10	$151.88	$329.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $253.13 / $337.50 / $607.50	Facility		$253.13	$337.50	$607.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.50 / $296.85 / $296.85	Professional		$268.50	$296.85	$296.85
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $70.88 / $194.06	Professional		$70.88	$70.88	$194.06