Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $144.50 / $144.50	Facility		$144.50	$144.50	$144.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $144.50 / $216.07	Professional		$108.23	$144.50	$216.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $169.57	Facility		$115.51	$115.51	$169.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $115.51 / $138.02	Professional		$98.18	$115.51	$138.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.26 / $116.07 / $226.91	Facility		$85.26	$116.07	$226.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $164.01 / $226.91	Professional		$21.56	$164.01	$226.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $149.83 / $153.84	Professional		$14.98	$149.83	$153.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $180.49 / $180.49 / $313.41	Facility		$180.49	$180.49	$313.41
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $103.21 / $175.83	Professional		$86.74	$103.21	$175.83