Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.54 / $429.54 / $618.79	Facility		$429.54	$429.54	$618.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $464.10 / $464.10	Professional		$166.60	$464.10	$464.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.64 / $495.04 / $928.20	Facility		$185.64	$495.04	$928.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $208.70 / $393.65	Professional		$177.40	$208.70	$393.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $286.36 / $464.10 / $510.51	Facility		$286.36	$464.10	$510.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $238.00 / $285.60	Professional		$238.00	$238.00	$285.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.07 / $214.20 / $464.10	Professional		$182.07	$214.20	$464.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $346.75 / $461.72 / $856.80	Facility		$346.75	$461.72	$856.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $378.42 / $418.63 / $418.63	Professional		$378.42	$418.63	$418.63
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $99.96 / $185.66	Professional		$67.91	$99.96	$185.66