Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Facility		$158.91	$158.91	$158.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $174.81 / $198.65	Professional		$158.91	$174.81	$198.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $152.91 / $158.91	Facility		$149.91	$152.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $169.81	Professional		$158.91	$158.91	$169.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $166.86 / $210.57	Facility		$158.91	$166.86	$210.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $198.65	Professional		$158.91	$158.91	$198.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $106.58 / $148.76	Professional		$97.48	$106.58	$148.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $183.91 / $220.70 / $332.03	Facility		$183.91	$220.70	$332.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $182.76 / $198.65	Professional		$158.91	$182.76	$198.65
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $158.91	Professional		$63.57	$158.91	$158.91