Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.70 / $293.70 / $293.70	Facility		$293.70	$293.70	$293.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.77 / $293.70 / $444.26	Professional		$195.77	$293.70	$444.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $380.29	Facility		$243.78	$243.78	$380.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $243.78 / $297.33	Professional		$207.21	$243.78	$297.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.14 / $247.48 / $444.26	Facility		$181.14	$247.48	$444.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $362.52 / $508.84	Professional		$48.34	$362.52	$508.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $326.01 / $334.69	Professional		$32.60	$326.01	$334.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $357.22 / $357.22 / $644.45	Facility		$357.22	$357.22	$644.45
United Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $231.47 / $422.54	Professional		$187.15	$231.47	$422.54