Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $129.58 / $149.02	Facility		$129.58	$129.58	$149.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $142.43 / $161.85	Professional		$129.47	$142.43	$161.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $129.47 / $129.47	Facility		$122.15	$129.47	$129.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.43 / $171.56 / $231.45	Facility		$142.43	$171.56	$231.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $161.85	Professional		$129.47	$129.47	$161.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $191.09	Facility		$129.47	$129.47	$191.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $155.38 / $155.38	Professional		$142.91	$155.38	$155.38
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $181.27	Professional		$129.47	$129.47	$181.27