Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.31 / $121.31 / $174.75	Facility		$121.31	$121.31	$174.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $131.06 / $131.06	Professional		$47.05	$131.06	$131.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $71.20 / $262.14	Facility		$65.54	$71.20	$262.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $77.23 / $96.54	Professional		$33.31	$77.23	$96.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $101.93 / $137.61	Facility		$63.18	$101.93	$137.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $80.65	Professional		$67.20	$67.20	$80.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Professional		$67.20	$67.20	$67.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $151.22 / $247.33	Facility		$100.82	$151.22	$247.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $115.24 / $118.27	Professional		$57.13	$115.24	$118.27
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $39.97 / $137.34	Professional		$28.23	$39.97	$137.34