Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.96 / $146.96 / $146.96	Facility		$146.96	$146.96	$146.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $163.06 / $224.37	Professional		$135.55	$163.06	$224.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.55 / $216.88 / $257.18	Facility		$135.55	$216.88	$257.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $252.98 / $268.31 / $306.64	Professional		$252.98	$268.31	$306.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $286.57	Professional		$30.00	$55.00	$286.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.45 / $235.82 / $252.49	Professional		$200.45	$235.82	$252.49
United Facility/Professional Professional Modifier Low / Median / High Price $190.18 / $236.44 / $323.32	Professional		$190.18	$236.44	$323.32