Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.52 / $346.52 / $499.20	Facility		$346.52	$346.52	$499.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $374.40 / $374.40	Professional		$134.40	$374.40	$374.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.76 / $399.36 / $748.80	Facility		$149.76	$399.36	$748.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $143.06 / $317.89	Professional		$35.44	$143.06	$317.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.01 / $374.40 / $411.84	Facility		$231.01	$374.40	$411.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $230.40	Professional		$192.00	$192.00	$230.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $374.40	Professional		$192.00	$192.00	$374.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $209.18 / $336.00 / $691.20	Facility		$209.18	$336.00	$691.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $329.99 / $337.83 / $337.83	Professional		$329.99	$337.83	$337.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $80.64 / $115.20	Professional		$35.14	$80.64	$115.20