Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.27 / $262.27 / $262.27	Facility		$262.27	$262.27	$262.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $262.27 / $366.01	Professional		$196.48	$262.27	$366.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $313.27	Facility		$204.05	$204.05	$313.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $204.05 / $395.41	Professional		$173.44	$204.05	$395.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.58 / $208.14 / $366.01	Facility		$151.58	$208.14	$366.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $298.66 / $419.17	Professional		$39.81	$298.66	$419.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $270.69 / $277.91	Professional		$27.06	$270.69	$277.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $294.33 / $294.33 / $530.94	Facility		$294.33	$294.33	$530.94
United Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $200.14 / $266.86	Facility		$26.68	$200.14	$266.86
United Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $190.68 / $324.83	Professional		$158.15	$190.68	$324.83