Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $136.18 / $136.18	Facility		$136.18	$136.18	$136.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $152.61 / $208.11	Professional		$136.18	$152.61	$208.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $138.74 / $138.74	Facility		$130.88	$138.74	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Professional		$138.74	$138.74	$138.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $173.43 / $221.99	Facility		$136.18	$173.43	$221.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $145.68 / $173.43	Professional		$138.74	$145.68	$173.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $124.88 / $265.92	Professional		$104.29	$124.88	$265.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.49 / $166.49 / $166.49	Professional		$166.49	$166.49	$166.49
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Professional		$138.74	$138.74	$138.74