Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.40 / $384.06 / $4,165.10	Facility		$182.40	$384.06	$4,165.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $322.74 / $322.74	Professional		$115.86	$322.74	$322.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.10 / $344.26 / $645.48	Facility		$129.10	$344.26	$645.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $145.05 / $273.77	Professional		$123.29	$145.05	$273.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.14 / $322.74 / $355.01	Facility		$199.14	$322.74	$355.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $168.82 / $198.61	Professional		$165.51	$168.82	$198.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $148.96 / $322.74	Professional		$126.62	$148.96	$322.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $248.27 / $355.85 / $595.84	Facility		$248.27	$355.85	$595.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.35 / $290.99 / $290.99	Professional		$263.35	$290.99	$290.99
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $69.69 / $200.21	Professional		$69.51	$69.69	$200.21