Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.70 / $288.70 / $288.70	Facility		$288.70	$288.70	$288.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.35 / $288.70 / $415.09	Professional		$193.35	$288.70	$415.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.29 / $238.16 / $238.16	Facility		$212.29	$238.16	$238.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $274.02	Professional		$202.44	$238.16	$274.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.15 / $199.12 / $387.73	Facility		$106.15	$199.12	$387.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $348.96 / $368.34 / $373.27	Professional		$348.96	$368.34	$373.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $269.01 / $275.47	Professional		$26.90	$269.01	$275.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $364.52 / $364.52 / $603.29	Facility		$364.52	$364.52	$603.29
United Facility/Professional Professional Modifier Low / Median / High Price $152.02 / $164.42 / $277.50	Professional		$152.02	$164.42	$277.50