Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.75 / $311.75 / $449.10	Facility		$311.75	$311.75	$449.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.91 / $336.82 / $336.82	Professional		$120.91	$336.82	$336.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.72 / $359.26 / $673.62	Facility		$134.72	$359.26	$673.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $151.47 / $285.70	Professional		$128.75	$151.47	$285.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.83 / $336.82 / $370.50	Facility		$207.83	$336.82	$370.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $172.73 / $207.28	Professional		$172.73	$172.73	$207.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $155.46 / $336.82	Professional		$132.13	$155.46	$336.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $259.10 / $388.64 / $635.65	Facility		$259.10	$388.64	$635.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $303.87 / $303.87	Professional		$293.12	$303.87	$303.87
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $85.56 / $305.58	Professional		$72.55	$85.56	$305.58