Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $764.62 / $764.62	Facility		$258.00	$764.62	$764.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.66 / $642.54 / $642.54	Professional		$230.66	$642.54	$642.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.02 / $685.38 / $1,285.08	Facility		$257.02	$685.38	$1,285.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $245.54 / $545.15	Professional		$139.91	$245.54	$545.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.47 / $642.54 / $706.79	Facility		$396.47	$642.54	$706.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $336.10 / $395.41	Professional		$329.51	$336.10	$395.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.08 / $296.56 / $642.54	Professional		$252.08	$296.56	$642.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $494.27 / $708.45 / $1,186.24	Facility		$494.27	$708.45	$1,186.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $523.84 / $579.65 / $579.65	Professional		$523.84	$579.65	$579.65
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $329.51	Professional		$138.38	$138.38	$329.51