Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.77 / $514.77 / $514.77	Facility		$514.77	$514.77	$514.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $204.29 / $415.34	Professional		$91.93	$204.29	$415.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.35 / $152.55 / $152.55	Facility		$146.35	$152.55	$152.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $152.55 / $162.62	Professional		$111.36	$152.55	$162.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $164.35 / $233.30	Facility		$68.78	$164.35	$233.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.97 / $221.64 / $233.30	Professional		$209.97	$221.64	$233.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $172.17 / $205.05	Professional		$30.00	$172.17	$205.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.29 / $227.83 / $341.75	Facility		$204.29	$227.83	$341.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $169.16 / $244.97	Professional		$163.31	$169.16	$244.97
United Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $106.53 / $168.96	Professional		$98.50	$106.53	$168.96