Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.17 / $292.17 / $420.89	Facility		$292.17	$292.17	$420.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $315.67 / $315.67	Professional		$113.32	$315.67	$315.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.83 / $171.51 / $631.32	Facility		$157.83	$171.51	$631.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $185.85 / $232.31	Professional		$41.67	$185.85	$232.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $152.16 / $331.45	Facility		$77.37	$152.16	$331.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $161.88 / $194.26	Professional		$161.88	$161.88	$194.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $202.35 / $314.05 / $582.77	Facility		$202.35	$314.05	$582.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $278.20 / $284.55	Professional		$137.60	$278.20	$284.55
United Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $67.98 / $149.38	Professional		$42.86	$67.98	$149.38