Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $189.75 / $218.21	Facility		$189.75	$189.75	$218.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $213.13 / $242.20	Professional		$189.75	$213.13	$242.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $193.76 / $193.76	Facility		$182.79	$193.76	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.13 / $256.73 / $346.35	Facility		$213.13	$256.73	$346.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $242.20	Professional		$193.76	$193.76	$242.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $191.79 / $273.99 / $457.03	Facility		$191.79	$273.99	$457.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $232.51 / $232.51 / $242.20	Professional		$232.51	$232.51	$242.20
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $271.26	Professional		$193.76	$193.76	$271.26