Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.15 / $147.15 / $147.15	Facility		$147.15	$147.15	$147.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $147.15 / $219.81	Professional		$111.31	$147.15	$219.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $201.67	Facility		$123.59	$123.59	$201.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $155.94	Professional		$105.05	$123.59	$155.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $140.43 / $222.48	Facility		$105.88	$140.43	$222.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $184.48 / $226.21	Professional		$167.14	$184.48	$226.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $17.80 / $170.35	Professional		$8.64	$17.80	$170.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $170.82 / $170.82 / $318.88	Facility		$170.82	$170.82	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $144.41 / $263.62	Professional		$95.59	$144.41	$263.62