Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $168.13 / $297.82	Facility		$168.13	$168.13	$297.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $181.05 / $205.74	Professional		$164.59	$181.05	$205.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $164.59 / $164.59	Facility		$155.27	$164.59	$164.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.05 / $218.08 / $294.20	Facility		$181.05	$218.08	$294.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $205.74	Professional		$164.59	$164.59	$205.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $168.22 / $256.39	Facility		$164.59	$168.22	$256.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $197.51 / $197.51	Professional		$181.67	$197.51	$197.51
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59