Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $126.24 / $145.18	Facility		$126.24	$126.24	$145.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $140.19 / $159.32	Professional		$127.45	$140.19	$159.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $127.45	Facility		$120.24	$127.45	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.19 / $168.88 / $464.63	Facility		$140.19	$168.88	$464.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $159.31	Professional		$127.45	$127.45	$159.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $134.66 / $286.52	Facility		$127.45	$134.66	$286.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $152.94 / $152.94	Professional		$140.68	$152.94	$152.94
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $178.43	Professional		$127.45	$127.45	$178.43