Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.84 / $222.84 / $338.88	Facility		$222.84	$222.84	$338.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.59 / $233.14 / $284.77	Professional		$162.59	$233.14	$284.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $258.81	Facility		$216.42	$216.42	$258.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $230.72	Professional		$157.99	$216.42	$230.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $250.45 / $361.98	Facility		$99.68	$250.45	$361.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $292.70 / $308.97 / $325.23	Professional		$292.70	$308.97	$325.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $240.02 / $285.85	Professional		$30.00	$240.02	$285.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $284.77 / $317.61 / $476.42	Facility		$284.77	$317.61	$476.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $237.42 / $341.49	Professional		$227.66	$237.42	$341.49
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $164.30 / $180.13	Facility		$0.25	$164.30	$180.13
United Facility/Professional Professional Modifier Low / Median / High Price $142.75 / $154.40 / $237.92	Professional		$142.75	$154.40	$237.92