Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.65 / $371.65 / $371.65	Facility		$371.65	$371.65	$371.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $308.47 / $371.65	Professional		$297.32	$308.47	$371.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Facility		$321.72	$321.72	$321.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Professional		$321.72	$321.72	$321.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.43 / $319.62 / $404.35	Facility		$156.43	$319.62	$404.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.11 / $166.11 / $169.26	Professional		$166.11	$166.11	$169.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional		$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $29.35 / $314.45	Facility		$22.78	$29.35	$314.45
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $309.70 / $328.29	Professional		$309.70	$309.70	$328.29