Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.63 / $56.63 / $399.10	Facility		$56.63	$56.63	$399.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $299.33 / $299.33	Professional		$107.45	$299.33	$299.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $162.63 / $598.67	Facility		$149.66	$162.63	$598.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $176.76 / $220.96	Professional		$145.78	$176.76	$220.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.29 / $299.33 / $317.29	Facility		$144.29	$299.33	$317.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $153.50 / $184.20	Professional		$153.50	$153.50	$184.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.25 / $307.00 / $552.60	Facility		$230.25	$307.00	$552.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $263.64 / $269.92	Professional		$130.47	$263.64	$269.92
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $64.47 / $184.20	Professional		$64.47	$64.47	$184.20