Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $104.95 / $120.69	Facility		$104.95	$104.95	$120.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $115.20 / $130.91	Professional		$104.73	$115.20	$130.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $104.73	Facility		$98.80	$104.73	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $138.76 / $187.20	Facility		$115.20	$138.76	$187.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $130.91	Professional		$104.73	$104.73	$130.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.20 / $150.30 / $250.50	Facility		$100.20	$150.30	$250.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $125.68 / $130.91	Professional		$125.68	$125.68	$130.91
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73