Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $539.40	Facility		$255.00	$255.00	$539.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $404.55 / $404.55	Professional		$145.22	$404.55	$404.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $431.52 / $809.10	Facility		$161.82	$431.52	$809.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $182.08 / $381.72	Professional		$154.77	$182.08	$381.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.61 / $404.55 / $445.01	Facility		$249.61	$404.55	$445.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $207.46 / $248.95	Professional		$207.46	$207.46	$248.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $186.71 / $404.55	Professional		$158.69	$186.71	$404.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $311.19 / $466.79 / $763.45	Facility		$311.19	$466.79	$763.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.18 / $364.77 / $407.05	Professional		$356.18	$364.77	$407.05
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $118.87 / $324.99	Professional		$87.13	$118.87	$324.99