Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.80 / $355.52 / $429.75	Facility		$250.80	$355.52	$429.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $254.33 / $361.14	Professional		$129.63	$254.33	$361.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.46 / $385.22 / $722.28	Facility		$144.46	$385.22	$722.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $138.12 / $316.70	Professional		$80.76	$138.12	$316.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.84 / $361.14 / $397.25	Facility		$222.84	$361.14	$397.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $188.90 / $222.24	Professional		$185.20	$188.90	$222.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $166.68 / $361.14	Professional		$141.68	$166.68	$361.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $277.80 / $398.18 / $666.72	Facility		$277.80	$398.18	$666.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $318.35 / $325.54 / $325.54	Professional		$318.35	$325.54	$325.54
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $277.80	Professional		$77.78	$77.78	$277.80