Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.89 / $298.89 / $430.59	Facility		$298.89	$298.89	$430.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $322.94 / $322.94	Professional		$115.93	$322.94	$322.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $175.47 / $645.90	Facility		$161.47	$175.47	$645.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $190.39 / $237.99	Professional		$84.86	$190.39	$237.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $240.54 / $339.09	Facility		$150.97	$240.54	$339.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $165.61 / $198.73	Professional		$165.61	$165.61	$198.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $165.61 / $165.61	Professional		$165.61	$165.61	$165.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $248.42 / $372.62 / $609.44	Facility		$248.42	$372.62	$609.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $284.60 / $291.58	Professional		$140.77	$284.60	$291.58
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $80.36 / $294.89	Professional		$69.56	$80.36	$294.89