Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.84 / $219.84 / $309.17	Facility		$219.84	$219.84	$309.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $184.74 / $184.74	Professional		$66.31	$184.74	$184.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $197.06 / $369.48	Facility		$73.90	$197.06	$369.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $83.24 / $168.79	Professional		$70.75	$83.24	$168.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $184.74 / $203.21	Facility		$114.00	$184.74	$203.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $94.74 / $113.69	Professional		$94.74	$94.74	$113.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $85.27 / $184.74	Professional		$72.48	$85.27	$184.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.11 / $213.17 / $348.64	Facility		$142.11	$213.17	$348.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $166.87 / $180.34	Professional		$162.96	$166.87	$180.34
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $52.61 / $143.82	Professional		$39.79	$52.61	$143.82