Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.94 / $190.94 / $595.00	Facility		$190.94	$190.94	$595.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $338.64 / $338.64	Professional		$121.56	$338.64	$338.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.46 / $361.22 / $677.28	Facility		$135.46	$361.22	$677.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $129.54 / $305.98	Professional		$102.20	$129.54	$305.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.95 / $309.33 / $369.57	Facility		$208.95	$309.33	$369.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $177.13 / $217.08	Professional		$173.66	$177.13	$217.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.85 / $156.29 / $338.64	Professional		$132.85	$156.29	$338.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $260.49 / $390.74 / $639.07	Facility		$260.49	$390.74	$639.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.98 / $305.63 / $326.33	Professional		$297.98	$305.63	$326.33
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $141.35 / $273.79	Professional		$104.20	$141.35	$273.79