Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $194.32 / $223.47	Facility		$194.32	$194.32	$223.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $294.69 / $368.36	Professional		$194.32	$294.69	$368.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $294.69 / $294.69	Facility		$278.01	$294.69	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $368.36 / $526.75	Facility		$1.23	$368.36	$526.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $324.16 / $368.36	Professional		$3.05	$324.16	$368.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $284.33 / $284.33	Professional		$284.33	$284.33	$284.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $433.38 / $619.11 / $1,052.49	Facility		$433.38	$619.11	$1,052.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $353.63 / $368.36	Professional		$353.63	$353.63	$368.36
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69