Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $818.90	Facility		$150.33	$150.33	$818.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $166.28 / $207.60	Professional		$151.16	$166.28	$207.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $151.16 / $151.16	Facility		$142.61	$151.16	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $188.96 / $241.87	Facility		$150.33	$188.96	$241.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $154.19 / $188.96	Professional		$151.16	$154.19	$188.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $142.50 / $308.74	Professional		$115.97	$142.50	$308.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $181.40 / $181.40	Professional		$181.40	$181.40	$181.40
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16