Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.45 / $541.45 / $541.45	Facility		$541.45	$541.45	$541.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.65 / $399.92 / $399.92	Professional		$161.65	$399.92	$399.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $235.39 / $466.14	Facility		$88.27	$235.39	$466.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.68 / $174.21 / $364.84	Professional		$142.68	$174.21	$364.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $285.32 / $360.91 / $439.91	Facility		$285.32	$360.91	$439.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $368.79 / $391.14 / $447.02	Professional		$368.79	$391.14	$447.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $195.60 / $406.09	Professional		$32.34	$195.60	$406.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $978.23 / $1,933.52 / $2,605.34	Facility		$978.23	$1,933.52	$2,605.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $339.49 / $395.76 / $402.24	Professional		$339.49	$395.76	$402.24
United Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $181.35 / $281.64	Professional		$139.44	$181.35	$281.64