Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $216.74 / $249.25	Facility		$216.74	$216.74	$249.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $223.41 / $271.13	Professional		$216.74	$223.41	$271.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $204.63 / $216.90	Facility		$204.63	$204.63	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $271.13 / $347.05	Facility		$216.74	$271.13	$347.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $229.92 / $271.13	Professional		$216.90	$229.92	$271.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.60 / $371.00 / $413.40	Professional		$328.60	$371.00	$413.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $216.10 / $304.50 / $516.03	Facility		$216.10	$304.50	$516.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $260.27 / $271.13	Professional		$260.27	$260.27	$271.13
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $229.91	Professional		$216.90	$216.90	$229.91