Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.94 / $171.94 / $242.48	Facility		$171.94	$171.94	$242.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $189.44 / $215.28	Professional		$171.94	$189.44	$215.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $172.22 / $172.22	Facility		$162.47	$172.22	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.44 / $228.20 / $307.85	Facility		$189.44	$228.20	$307.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $215.28	Professional		$172.22	$172.22	$215.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $236.21 / $397.02	Facility		$157.47	$236.21	$397.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $206.67 / $215.28	Professional		$206.67	$206.67	$215.28
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22