Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $304.48 / $711.04	Facility		$286.00	$304.48	$711.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $171.48 / $243.50	Professional		$87.41	$171.48	$243.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $259.74 / $487.02	Facility		$97.40	$259.74	$487.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $93.12 / $206.37	Professional		$53.08	$93.12	$206.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.25 / $243.50 / $267.85	Facility		$150.25	$243.50	$267.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $127.37 / $149.84	Professional		$124.87	$127.37	$149.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $112.38 / $243.50	Professional		$95.52	$112.38	$243.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $187.31 / $268.47 / $449.53	Facility		$187.31	$268.47	$449.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $219.56 / $219.56	Professional		$198.66	$219.56	$219.56
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $52.45 / $124.87	Professional		$52.45	$52.45	$124.87