Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $241.87 / $241.87	Facility		$241.87	$241.87	$241.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $269.83 / $306.63	Professional		$241.87	$269.83	$306.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.42 / $245.30 / $245.30	Facility		$231.42	$245.30	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Professional		$245.30	$245.30	$245.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $306.63 / $392.49	Facility		$241.87	$306.63	$392.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $257.57 / $306.63	Professional		$245.30	$257.57	$306.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $218.45 / $481.69	Professional		$30.00	$218.45	$481.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $294.36 / $294.36 / $294.36	Professional		$294.36	$294.36	$294.36
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Professional		$245.30	$245.30	$245.30