Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.68 / $286.91 / $410.46	Facility		$125.68	$286.91	$410.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $233.00 / $344.93	Professional		$165.63	$233.00	$344.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $210.64 / $294.05 / $294.05	Professional	25	$210.64	$294.05	$294.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.79 / $315.81 / $467.13	Professional		$250.79	$315.81	$467.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.11 / $255.40 / $379.42	Facility		$169.11	$255.40	$379.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.01 / $364.86 / $545.36	Professional		$301.01	$364.86	$545.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $255.40 / $498.03	Professional		$152.00	$255.40	$498.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.36 / $297.24 / $403.07	Facility		$230.36	$297.24	$403.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.36 / $332.64 / $476.70	Professional		$275.36	$332.64	$476.70
United Facility/Professional Professional Modifier Low / Median / High Price $247.39 / $306.01 / $414.81	Professional		$247.39	$306.01	$414.81