Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.29 / $237.29 / $268.80	Facility		$237.29	$237.29	$268.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $140.43 / $199.41	Professional		$71.58	$140.43	$199.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $212.70 / $398.82	Facility		$79.76	$212.70	$398.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $89.66 / $169.39	Professional		$76.20	$89.66	$169.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $199.41 / $219.35	Facility		$123.03	$199.41	$219.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $102.26 / $122.71	Professional		$102.26	$102.26	$122.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.41 / $199.41 / $199.41	Professional		$199.41	$199.41	$199.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $153.38 / $204.52 / $368.14	Facility		$153.38	$204.52	$368.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.59 / $179.75 / $179.75	Professional		$162.59	$179.75	$179.75
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $117.60	Professional		$42.95	$42.95	$117.60