Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.02 / $81.02 / $116.71	Facility		$81.02	$81.02	$116.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $87.54 / $87.54	Professional		$31.42	$87.54	$87.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $93.38 / $175.08	Facility		$35.02	$93.38	$175.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $39.47 / $74.56	Professional		$33.54	$39.47	$74.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $87.54 / $96.29	Facility		$54.02	$87.54	$96.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $44.89 / $53.87	Professional		$44.89	$44.89	$53.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $40.40 / $87.54	Professional		$34.34	$40.40	$87.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $89.78 / $161.60	Facility		$67.34	$89.78	$161.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $79.04 / $79.04	Professional		$71.56	$79.04	$79.04
United Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $67.34	Professional		$18.85	$18.85	$67.34