Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.77 / $95.77 / $95.77	Facility		$95.77	$95.77	$95.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $102.36 / $123.03	Professional		$42.39	$102.36	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $83.40 / $83.40	Professional		$83.40	$83.40	$83.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.28 / $97.69 / $122.59	Facility		$60.28	$97.69	$122.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $78.36 / $78.36	Professional		$78.36	$78.36	$78.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,500.00	Professional		$30.00	$55.00	$3,500.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $67.16 / $160.53	Professional		$57.09	$67.16	$160.53
United Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $141.68 / $209.45	Professional		$110.88	$141.68	$209.45