Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.47 / $320.47 / $461.66	Facility		$320.47	$320.47	$461.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $346.24 / $346.24	Professional		$124.29	$346.24	$346.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.12 / $188.12 / $692.46	Facility		$173.12	$188.12	$692.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $204.02 / $255.03	Professional		$75.43	$204.02	$255.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $346.24 / $367.01	Facility		$166.91	$346.24	$367.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $213.07	Professional		$177.56	$177.56	$213.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Professional		$177.56	$177.56	$177.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $232.72 / $344.47 / $639.22	Facility		$232.72	$344.47	$639.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $304.97 / $312.07	Professional		$150.93	$304.97	$312.07
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $74.58 / $177.56	Professional		$74.58	$74.58	$177.56