Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.98 / $229.98 / $331.32	Facility		$229.98	$229.98	$331.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $248.49 / $248.49	Professional		$89.20	$248.49	$248.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $265.06 / $496.98	Facility		$99.40	$265.06	$496.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $111.69 / $211.14	Professional		$94.94	$111.69	$211.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.32 / $248.49 / $273.33	Facility		$153.32	$248.49	$273.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $127.43 / $152.91	Professional		$127.43	$127.43	$152.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $114.69 / $248.49	Professional		$97.49	$114.69	$248.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $191.15 / $286.72 / $468.94	Facility		$191.15	$286.72	$468.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.70 / $224.25 / $224.25	Professional		$218.70	$224.25	$224.25
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $63.81 / $183.31	Professional		$53.52	$63.81	$183.31