Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Facility		$148.32	$148.32	$148.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $148.32 / $196.75	Professional		$100.88	$148.32	$196.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Facility		$70.53	$70.53	$70.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $70.53 / $128.61	Professional		$51.49	$70.53	$128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $127.99 / $199.17	Facility		$118.87	$127.99	$199.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $156.83 / $199.17	Professional		$19.93	$156.83	$199.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $137.97 / $141.67	Professional		$13.80	$137.97	$141.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $166.79 / $166.79 / $285.37	Facility		$166.79	$166.79	$285.37
United Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $80.98 / $249.41	Professional		$78.09	$80.98	$249.41