Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.72 / $169.72 / $294.98	Facility		$169.72	$169.72	$294.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $171.15	Professional		$142.62	$142.63	$171.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $556.26 / $556.26 / $556.26	Facility		$556.26	$556.26	$556.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $113.41 / $260.05	Professional		$66.31	$113.41	$260.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $156.88 / $213.95	Facility		$142.63	$156.88	$213.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $149.76 / $171.16	Professional		$142.63	$149.76	$171.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $109.11 / $278.13	Professional		$30.00	$109.11	$278.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $285.26 / $513.47	Facility		$213.95	$285.26	$513.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.02 / $250.59 / $250.59	Professional		$245.02	$250.59	$250.59
United Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $66.69 / $167.58	Professional		$62.90	$66.69	$167.58