Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.87 / $131.87 / $131.87	Facility		$131.87	$131.87	$131.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $169.11 / $205.06	Professional		$129.63	$169.11	$205.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Professional		$570.54	$570.54	$570.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.11 / $205.06 / $262.48	Facility		$169.11	$205.06	$262.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $184.22 / $184.22	Professional		$151.65	$184.22	$184.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $224.19 / $228.23 / $334.73	Facility		$224.19	$228.23	$334.73
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $904.25	Professional		$645.89	$645.89	$904.25