Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $367.50 / $394.25	Facility		$185.00	$367.50	$394.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $233.32 / $331.31	Professional		$118.93	$233.32	$331.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.53 / $353.41 / $662.64	Facility		$132.53	$353.41	$662.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $149.03 / $280.92	Professional		$126.67	$149.03	$280.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.43 / $331.31 / $364.44	Facility		$204.43	$331.31	$364.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $169.90 / $203.88	Professional		$169.90	$169.90	$203.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $152.91 / $331.31	Professional		$129.97	$152.91	$331.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $254.85 / $329.61 / $611.64	Facility		$254.85	$329.61	$611.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $270.22 / $298.60 / $298.60	Professional		$270.22	$298.60	$298.60
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $71.36 / $148.16	Professional		$54.19	$71.36	$148.16