Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.50 / $182.50 / $262.91	Facility		$182.50	$182.50	$262.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $158.90 / $197.18	Professional		$70.78	$158.90	$197.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.88 / $210.34 / $394.38	Facility		$78.88	$210.34	$394.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $88.74 / $167.60	Professional		$75.43	$88.74	$167.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.66 / $197.18 / $216.90	Facility		$121.66	$197.18	$216.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $101.12 / $121.34	Professional		$101.12	$101.12	$121.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $91.01 / $197.18	Professional		$77.36	$91.01	$197.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.68 / $202.24 / $364.03	Facility		$151.68	$202.24	$364.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.87 / $177.99 / $177.99	Professional		$160.87	$177.99	$177.99
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $42.47 / $116.29	Professional		$42.47	$42.47	$116.29