Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $172.55 / $198.43	Facility		$172.55	$172.55	$198.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $180.02 / $216.29	Professional		$173.03	$180.02	$216.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $173.03	Facility		$163.24	$163.24	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $190.33 / $259.55	Facility		$98.31	$190.33	$259.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $183.41 / $216.29	Professional		$173.03	$183.41	$216.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $149.13 / $321.58	Professional		$115.25	$149.13	$321.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $166.62 / $214.23 / $389.25	Facility		$166.62	$214.23	$389.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $207.64 / $207.64	Professional		$190.33	$207.64	$207.64
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $183.41	Professional		$173.03	$173.03	$183.41