Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.04 / $145.52 / $286.95	Facility		$118.04	$145.52	$286.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $191.31 / $191.31	Professional		$68.68	$191.31	$191.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.66 / $103.95 / $382.62	Facility		$95.66	$103.95	$382.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $112.75 / $140.94	Professional		$39.54	$112.75	$140.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $191.31 / $273.57	Facility		$67.98	$191.31	$273.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $117.73	Professional		$98.11	$98.11	$117.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.16 / $196.22 / $353.20	Facility		$147.16	$196.22	$353.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $168.78 / $172.72	Professional		$83.39	$168.78	$172.72
United Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $58.87 / $106.03	Professional		$38.32	$58.87	$106.03