Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.88 / $302.04 / $422.17	Facility		$135.88	$302.04	$422.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $218.44 / $253.82	Professional		$114.22	$218.44	$253.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $181.82	Facility		$175.00	$175.00	$181.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $186.56	Professional		$127.75	$127.75	$186.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $204.18 / $289.86	Facility		$85.45	$204.18	$289.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.87 / $275.37 / $289.86	Professional		$260.87	$275.37	$289.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $213.91 / $254.76	Professional		$30.00	$213.91	$254.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $253.82 / $283.07 / $424.61	Facility		$253.82	$283.07	$424.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $210.17 / $304.35	Professional		$202.90	$210.17	$304.35
United Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $132.35 / $203.96	Professional		$122.38	$132.35	$203.96