Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.22 / $349.22 / $349.22	Facility		$349.22	$349.22	$349.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.02 / $349.22 / $428.42	Professional		$226.02	$349.22	$428.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $267.62	Facility		$267.62	$267.62	$267.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $302.31	Professional		$227.48	$267.62	$302.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.09 / $292.33 / $428.42	Facility		$234.09	$292.33	$428.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $301.86 / $384.65	Professional		$38.25	$301.86	$384.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $282.82 / $290.44	Professional		$28.28	$282.82	$290.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $373.45 / $373.45 / $621.38	Facility		$373.45	$373.45	$621.38
United Facility/Professional Professional Modifier Low / Median / High Price $183.07 / $198.33 / $311.87	Professional		$183.07	$198.33	$311.87