Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $77.84 / $77.84	Facility		$77.84	$77.84	$77.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $35.47 / $72.54	Professional		$28.05	$35.47	$72.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $273.04 / $498.63	Facility		$110.60	$273.04	$498.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $48.48 / $57.04	Professional		$28.39	$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 $30.58 / $54.74 / $72.55	Facility		$30.58	$54.74	$72.55
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 / $43.09	Professional		$12.41	$32.34	$43.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $216.45 / $323.07	Facility		$156.94	$216.45	$323.07
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 $30.44 / $33.02 / $61.12	Professional		$30.44	$33.02	$61.12