Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $200.40 / $227.73	Professional		$182.18	$200.40	$227.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $182.18 / $182.18	Facility		$171.87	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $227.73 / $291.49	Facility		$182.18	$227.73	$291.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $218.62 / $227.73	Professional		$182.18	$218.62	$227.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.38 / $318.82 / $355.25	Professional		$282.38	$318.82	$355.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.62 / $218.62 / $218.62	Professional		$218.62	$218.62	$218.62
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18