Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.00 / $368.40 / $547.07	Facility		$287.00	$368.40	$547.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $169.84 / $241.18	Professional		$86.58	$169.84	$241.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.47 / $257.25 / $482.34	Facility		$96.47	$257.25	$482.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $108.33 / $227.24	Professional		$92.08	$108.33	$227.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.81 / $241.18 / $265.30	Facility		$148.81	$241.18	$265.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $126.15 / $148.41	Professional		$123.68	$126.15	$148.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $111.31 / $241.18	Professional		$94.61	$111.31	$241.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $185.52 / $278.27 / $455.14	Facility		$185.52	$278.27	$455.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.43 / $217.81 / $242.74	Professional		$212.43	$217.81	$242.74
United Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $70.87 / $193.75	Professional		$51.95	$70.87	$193.75