Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.95 / $196.95 / $283.74	Facility		$196.95	$196.95	$283.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $212.80 / $212.80	Professional		$76.39	$212.80	$212.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $226.98 / $425.58	Facility		$85.12	$226.98	$425.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $95.78 / $200.40	Professional		$81.41	$95.78	$200.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.30 / $212.80 / $234.08	Facility		$131.30	$212.80	$234.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $109.13 / $130.96	Professional		$109.13	$109.13	$130.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $98.22 / $212.80	Professional		$83.49	$98.22	$212.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $245.54 / $401.60	Facility		$163.69	$245.54	$401.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $192.04 / $214.12	Professional		$187.40	$192.04	$214.12
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $62.53 / $170.96	Professional		$45.83	$62.53	$170.96