Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.87 / $255.87 / $802.00	Facility		$255.87	$255.87	$802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $197.90 / $275.00	Professional		$81.88	$197.90	$275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $228.57 / $273.04	Facility		$110.60	$228.57	$273.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $84.17 / $179.34	Professional		$84.17	$84.17	$179.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.90 / $197.90 / $237.48	Facility		$111.90	$197.90	$237.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.45 / $217.45 / $217.45	Professional		$217.45	$217.45	$217.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $206.06 / $311.69	Facility		$134.19	$206.06	$311.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.73 / $226.74 / $226.74	Professional		$192.73	$226.74	$226.74