Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $243.15 / $279.62	Facility		$243.15	$243.15	$279.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.15 / $267.97 / $304.51	Professional		$243.15	$267.97	$304.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $243.61 / $243.61	Facility		$229.82	$243.61	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $269.14	Professional		$243.61	$243.61	$269.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $255.79 / $322.77	Facility		$243.15	$255.79	$322.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $304.51	Professional		$243.61	$243.61	$304.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.08 / $174.12 / $235.77	Professional		$168.08	$174.12	$235.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $246.65 / $352.35 / $599.00	Facility		$246.65	$352.35	$599.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $304.51	Professional		$243.61	$243.61	$304.51
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $243.61 / $243.61	Professional		$97.44	$243.61	$243.61