Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $136.22 / $156.66	Facility		$136.22	$136.22	$156.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $142.19 / $170.83	Professional		$136.66	$142.19	$170.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $128.93 / $136.66	Facility		$128.93	$128.93	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Professional		$136.66	$136.66	$136.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $170.83 / $218.66	Facility		$136.22	$170.83	$218.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $144.87 / $170.84	Professional		$136.66	$144.87	$170.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $119.62 / $258.82	Professional		$95.08	$119.62	$258.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $136.46 / $175.45 / $315.25	Facility		$136.46	$175.45	$315.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $164.00 / $164.00	Professional		$150.34	$164.00	$164.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $144.87	Professional		$136.66	$136.66	$144.87