Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.75 / $208.21 / $1,429.95	Facility		$145.75	$208.21	$1,429.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.75 / $80.75	Professional		$80.75	$80.75	$80.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.47 / $122.22 / $449.88	Facility		$112.47	$122.22	$449.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $109.55 / $165.72	Professional		$70.87	$109.55	$165.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.44 / $224.95 / $238.45	Facility		$108.44	$224.95	$238.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $115.36 / $138.43	Professional		$115.36	$115.36	$138.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $115.36 / $224.95	Professional		$88.25	$115.36	$224.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $173.04 / $259.52 / $422.49	Facility		$173.04	$259.52	$422.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $203.17 / $226.71	Professional		$98.06	$203.17	$226.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $68.62 / $189.89	Professional		$48.45	$68.62	$189.89