Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $172.40 / $174.43	Professional		$162.26	$172.40	$174.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.38 / $174.43 / $220.67	Facility		$164.38	$174.43	$220.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $157.12 / $310.33	Professional		$133.55	$157.12	$310.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.18 / $247.77 / $412.95	Facility		$165.18	$247.77	$412.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.22 / $231.22 / $240.85	Professional		$231.22	$231.22	$240.85
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $324.51	Professional		$202.82	$202.82	$324.51