Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $75.73 / $496.20	Facility		$75.73	$75.73	$496.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $35.47 / $63.64	Professional		$27.73	$35.47	$63.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $367.78 / $603.27	Facility		$148.86	$367.78	$603.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $48.48 / $57.04	Professional		$28.03	$48.48	$57.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $94.44	Professional		$85.07	$85.07	$94.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $54.74 / $74.33	Facility		$30.34	$54.74	$74.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $57.78 / $67.51	Professional		$50.18	$57.78	$67.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $32.34 / $48.65	Professional		$12.41	$32.34	$48.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $192.42 / $261.88 / $385.48	Facility		$192.42	$261.88	$385.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $65.08 / $73.73	Professional		$55.32	$65.08	$73.73
United Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $32.21 / $57.81	Professional		$28.59	$32.21	$57.81