Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $163.21 / $187.69	Facility		$163.21	$163.21	$187.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $169.18 / $205.32	Professional		$163.21	$169.18	$205.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $154.96 / $164.25	Facility		$154.96	$154.96	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $205.32 / $262.81	Facility		$163.21	$205.32	$262.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $174.11 / $205.31	Professional		$164.25	$174.11	$205.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $137.26 / $296.95	Professional		$111.36	$137.26	$296.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.96 / $224.25 / $379.90	Facility		$151.96	$224.25	$379.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $197.10 / $197.10 / $205.31	Professional		$197.10	$197.10	$205.31
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $174.11	Professional		$164.25	$164.25	$174.11