Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.70 / $400.00 / $759.20	Facility		$297.70	$400.00	$759.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $163.22 / $250.17	Professional		$89.80	$163.22	$250.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.07 / $266.85 / $500.34	Facility		$100.07	$266.85	$500.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $95.72 / $236.19	Professional		$74.22	$95.72	$236.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $250.17 / $357.74	Facility		$154.36	$250.17	$357.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $128.29 / $153.94	Professional		$128.29	$128.29	$153.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $115.46 / $250.17	Professional		$98.14	$115.46	$250.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $192.44 / $288.64 / $472.11	Facility		$192.44	$288.64	$472.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $220.58 / $225.42 / $251.90	Professional		$220.58	$225.42	$251.90
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $73.31 / $179.91	Professional		$53.88	$73.31	$179.91