Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.83 / $268.83 / $516.72	Facility		$268.83	$268.83	$516.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.72 / $516.72 / $516.72	Professional		$516.72	$516.72	$516.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $309.82 / $580.91	Facility		$116.18	$309.82	$580.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.23 / $298.11 / $319.52	Facility		$179.23	$298.11	$319.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $198.74 / $248.43	Professional		$151.94	$198.74	$248.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $248.43 / $372.40 / $715.46	Facility		$248.43	$372.40	$715.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.30 / $297.01 / $297.01	Professional		$230.30	$297.01	$297.01
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $69.52 / $190.35	Professional		$62.56	$69.52	$190.35