Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $172.80 / $172.80	Facility		$172.80	$172.80	$172.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $181.84 / $313.64	Professional		$149.24	$181.84	$313.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.65 / $181.97 / $320.87	Facility		$154.65	$181.97	$320.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.01 / $328.37 / $364.86	Professional		$301.01	$328.37	$364.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $336.96	Professional		$30.00	$55.00	$336.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $280.58 / $292.58	Professional		$238.50	$280.58	$292.58
United Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $259.68 / $356.20	Professional		$200.17	$259.68	$356.20