Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $463.38 / $2,163.19	Facility		$188.06	$463.38	$2,163.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $159.55 / $389.40	Professional		$90.04	$159.55	$389.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $189.84 / $380.35	Professional		$116.32	$189.84	$380.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $178.30 / $389.40	Facility		$104.40	$178.30	$389.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $234.36 / $476.78	Professional		$170.26	$234.36	$476.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $380.10	Professional		$32.34	$32.34	$380.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $800.41 / $1,724.86 / $2,164.31	Facility		$800.41	$1,724.86	$2,164.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.55 / $211.87 / $467.93	Professional		$162.55	$211.87	$467.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.08 / $230.40 / $347.43	Professional		$174.08	$230.40	$347.43