Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.38 / $239.38 / $390.75	Facility		$239.38	$239.38	$390.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $206.39 / $293.07	Professional		$105.20	$206.39	$293.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.23 / $312.61 / $586.14	Facility		$117.23	$312.61	$586.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $112.11 / $276.14	Professional		$92.31	$112.11	$276.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.47 / $231.08 / $322.38	Facility		$160.47	$231.08	$322.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $153.30 / $187.86	Professional		$150.29	$153.30	$187.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $135.26 / $293.07	Professional		$114.97	$135.26	$293.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $225.44 / $300.58 / $541.04	Facility		$225.44	$300.58	$541.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.41 / $264.06 / $294.83	Professional		$258.41	$264.06	$294.83
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $127.72 / $213.31	Professional		$90.17	$127.72	$213.31