Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.57 / $316.57 / $456.04	Facility		$316.57	$316.57	$456.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $342.03 / $342.03	Professional		$122.78	$342.03	$342.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.81 / $364.83 / $684.06	Facility		$136.81	$364.83	$684.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $130.84 / $290.47	Professional		$74.06	$130.84	$290.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.05 / $342.03 / $376.23	Facility		$211.05	$342.03	$376.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $210.48	Professional		$175.40	$175.40	$210.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $157.86 / $342.03	Professional		$134.18	$157.86	$342.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $263.10 / $377.11 / $631.44	Facility		$263.10	$377.11	$631.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $301.48 / $308.56 / $308.56	Professional		$301.48	$308.56	$308.56
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $201.71	Professional		$73.67	$73.67	$201.71