Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.26 / $417.12 / $461.30	Facility		$247.26	$417.12	$461.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $267.14 / $267.14	Professional		$95.90	$267.14	$267.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.86 / $284.95 / $534.29	Facility		$106.86	$284.95	$534.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $120.26 / $226.65	Professional		$102.22	$120.26	$226.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $267.14 / $293.87	Facility		$164.84	$267.14	$293.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $164.40	Professional		$137.00	$137.00	$164.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $123.30 / $267.14	Professional		$104.81	$123.30	$267.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $205.50 / $274.00 / $493.20	Facility		$205.50	$274.00	$493.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.12 / $241.23 / $241.23	Professional		$218.12	$241.23	$241.23
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $164.40	Professional		$57.54	$57.54	$164.40