Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $254.45 / $288.27	Professional		$92.50	$254.45	$288.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $321.43	Professional		$220.10	$301.51	$321.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $162.34 / $267.17	Facility		$99.73	$162.34	$267.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $183.70 / $204.11	Professional		$123.26	$183.70	$204.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $293.10 / $348.28	Professional		$30.00	$293.10	$348.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.17 / $198.17 / $384.02	Facility		$198.17	$198.17	$384.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $149.00 / $214.32	Professional		$142.88	$149.00	$214.32
United Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $220.78 / $350.16	Professional		$207.82	$220.78	$350.16