Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $163.19 / $165.12	Professional		$153.60	$163.19	$165.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $175.03 / $236.12	Facility		$163.19	$175.03	$236.12
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 $163.19 / $163.19 / $228.96	Facility		$163.19	$163.19	$228.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $204.00	Professional		$163.19	$163.19	$204.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00