Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Facility		$160.94	$160.94	$160.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.02 / $160.94 / $226.52	Professional		$121.02	$160.94	$226.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $130.68	Facility		$130.68	$130.68	$130.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $205.20	Professional		$111.08	$130.68	$205.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.96 / $149.12 / $235.58	Facility		$133.96	$149.12	$235.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $186.41 / $222.22	Professional		$22.22	$186.41	$222.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $19.62 / $162.26	Professional		$11.85	$19.62	$162.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.51 / $190.51 / $328.56	Facility		$190.51	$190.51	$328.56
United Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $96.63 / $181.27	Professional		$95.39	$96.63	$181.27