Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $378.00 / $378.00	Facility		$313.68	$378.00	$378.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $45.10 / $378.00	Professional		$38.00	$45.10	$378.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $305.00 / $452.50	Professional		$250.00	$305.00	$452.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.95 / $313.68 / $382.53	Professional		$202.95	$313.68	$382.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $190.81	Professional		$30.00	$55.00	$190.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $351.00 / $420.00	Professional		$306.00	$351.00	$420.00
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $153.00 / $175.50 / $210.00	Professional	QX	$153.00	$175.50	$210.00
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $153.00 / $175.50 / $210.00	Professional	QY	$153.00	$175.50	$210.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $56.00 / $74.00	Professional		$38.00	$56.00	$74.00