Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $163.19 / $163.63	Facility		$152.00	$163.19	$163.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.35 / $267.27 / $381.78	Professional		$199.35	$267.27	$381.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $237.10 / $317.32	Facility		$237.10	$237.10	$317.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $252.76	Professional		$173.08	$237.10	$252.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $301.67 / $436.00	Facility		$122.21	$301.67	$436.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.44 / $376.24 / $396.04	Professional		$356.44	$376.24	$396.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $292.28 / $348.08	Professional		$30.00	$292.28	$348.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $346.79 / $386.76 / $580.14	Facility		$346.79	$386.76	$580.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.23 / $289.11 / $415.84	Professional		$277.23	$289.11	$415.84
United Facility/Professional Professional Modifier Low / Median / High Price $175.03 / $189.30 / $291.70	Professional		$175.03	$189.30	$291.70