Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $359.09 / $412.95	Facility		$359.09	$359.09	$412.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.18 / $395.11 / $448.99	Professional		$359.18	$395.11	$448.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.86 / $359.19 / $359.19	Facility		$338.86	$359.19	$359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.11 / $475.93 / $642.05	Facility		$395.11	$475.93	$642.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $448.99	Professional		$359.19	$359.19	$448.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $352.56 / $352.56 / $352.56	Professional		$352.56	$352.56	$352.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $359.19 / $359.19 / $504.21	Facility		$359.19	$359.19	$504.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $396.47 / $431.03 / $431.03	Professional		$396.47	$431.03	$431.03
United Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19