Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.32 / $422.32 / $608.40	Facility		$422.32	$422.32	$608.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $456.30 / $456.30	Professional		$163.80	$456.30	$456.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.52 / $486.72 / $912.60	Facility		$182.52	$486.72	$912.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.53 / $205.33 / $387.09	Professional		$174.53	$205.33	$387.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.55 / $456.30 / $501.93	Facility		$281.55	$456.30	$501.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $280.80	Professional		$234.00	$234.00	$280.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $456.30 / $456.30 / $456.30	Professional		$456.30	$456.30	$456.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $468.00 / $842.40	Facility		$351.00	$468.00	$842.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $372.13 / $411.61 / $411.61	Professional		$372.13	$411.61	$411.61
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $98.28 / $351.00	Professional		$98.28	$98.28	$351.00