Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.79 / $365.10 / $768.99	Facility		$195.79	$365.10	$768.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $202.69 / $236.91	Professional		$182.45	$202.69	$236.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $182.45 / $182.45	Facility		$172.12	$182.45	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $228.06 / $326.13	Facility		$44.82	$228.06	$326.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $228.06	Professional		$182.45	$182.45	$228.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.93 / $284.19 / $483.12	Facility		$198.93	$284.19	$483.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.94 / $218.94 / $228.06	Professional		$218.94	$218.94	$228.06
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $230.36	Professional		$182.45	$182.45	$230.36