Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.61 / $195.61 / $195.61	Facility		$195.61	$195.61	$195.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $195.61 / $303.26	Professional		$156.40	$195.61	$303.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $260.87	Facility		$160.96	$160.96	$260.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $210.60	Professional		$136.82	$160.96	$210.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.86 / $166.55 / $312.12	Facility		$122.86	$166.55	$312.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $248.70 / $349.05	Professional		$33.15	$248.70	$349.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $220.75 / $226.61	Professional		$22.07	$220.75	$226.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $243.29 / $243.29 / $439.91	Facility		$243.29	$243.29	$439.91
United Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $158.78 / $270.49	Professional		$125.95	$158.78	$270.49