Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $225.00 / $572.70	Facility		$84.95	$225.00	$572.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $180.00 / $291.19	Professional		$114.97	$180.00	$291.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.78 / $291.19 / $334.87	Facility		$102.78	$291.19	$334.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $110.44 / $110.44	Professional		$110.44	$110.44	$110.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.29 / $165.65	Professional		$32.34	$66.29	$165.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $281.58 / $397.02 / $485.01	Facility		$281.58	$397.02	$485.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $142.78 / $164.92	Professional		$121.36	$142.78	$164.92
United Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $262.58 / $379.91	Professional		$204.26	$262.58	$379.91