Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.29 / $179.29 / $179.29	Facility		$179.29	$179.29	$179.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $140.50 / $187.91	Professional		$73.45	$140.50	$187.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $116.95	Facility		$106.63	$106.63	$116.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $113.67	Professional		$77.84	$106.63	$113.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $131.34 / $186.43	Facility		$54.96	$131.34	$186.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $177.11 / $186.43	Professional		$167.79	$177.11	$186.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $137.58 / $163.85	Professional		$30.00	$137.58	$163.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.25 / $182.06 / $273.08	Facility		$163.25	$182.06	$273.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $135.18 / $195.75	Professional		$130.50	$135.18	$195.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $85.13 / $128.25	Professional		$78.72	$85.13	$128.25