Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.64 / $212.64 / $212.64	Facility		$212.64	$212.64	$212.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $212.64 / $299.31	Professional		$130.47	$212.64	$299.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $242.25	Facility		$166.31	$166.31	$242.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $196.56	Professional		$141.36	$166.31	$196.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.80 / $165.17 / $299.31	Facility		$121.80	$165.17	$299.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $231.70 / $324.14	Professional		$30.80	$231.70	$324.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $214.89 / $220.64	Professional		$21.49	$214.89	$220.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $246.80 / $246.80 / $434.17	Facility		$246.80	$246.80	$434.17
United Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $147.46 / $269.17	Professional		$127.66	$147.46	$269.17