Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $158.56 / $160.41	Professional		$149.22	$158.56	$160.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $160.41 / $229.40	Facility		$45.23	$160.41	$229.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $56.62 / $56.62	Professional		$45.26	$56.62	$56.62
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 $110.15 / $245.33 / $417.05	Facility		$110.15	$245.33	$417.05
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $155.44	Professional		$155.44	$155.44	$155.44