Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.70 / $554.40 / $615.23	Facility		$212.70	$554.40	$615.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $125.87 / $178.74	Professional		$64.16	$125.87	$178.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $190.66 / $357.48	Facility		$71.50	$190.66	$357.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $80.48 / $168.79	Professional		$68.41	$80.48	$168.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.28 / $178.74 / $196.61	Facility		$110.28	$178.74	$196.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $109.99	Professional		$91.66	$91.66	$109.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $82.49 / $178.74	Professional		$70.12	$82.49	$178.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $137.49 / $206.24 / $337.31	Facility		$137.49	$206.24	$337.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $161.01 / $179.77	Professional		$157.13	$161.01	$179.77
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $52.53 / $143.60	Professional		$38.50	$52.53	$143.60