Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Facility		$138.91	$138.91	$138.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $138.91 / $196.52	Professional		$85.25	$138.91	$196.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $115.90	Facility		$115.90	$115.90	$115.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $207.57	Professional		$98.52	$115.90	$207.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $98.05 / $196.52	Facility		$64.20	$98.05	$196.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $150.44 / $166.26	Professional		$142.53	$150.44	$166.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $142.09 / $145.89	Professional		$14.21	$142.09	$145.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $161.41 / $285.06	Facility		$161.41	$161.41	$285.06
United Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $84.19 / $166.39	Professional		$83.39	$84.19	$166.39