Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $159.19 / $229.32	Facility		$159.19	$159.19	$229.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $171.99 / $171.99	Professional		$61.74	$171.99	$171.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $183.46 / $343.98	Facility		$68.80	$183.46	$343.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $77.42 / $146.13	Professional		$65.81	$77.42	$146.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.12 / $171.99 / $189.19	Facility		$106.12	$171.99	$189.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $88.20 / $105.84	Professional		$88.20	$88.20	$105.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $79.38 / $171.99	Professional		$67.47	$79.38	$171.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.30 / $176.40 / $317.52	Facility		$132.30	$176.40	$317.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.26 / $155.16 / $155.16	Professional		$140.26	$155.16	$155.16
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $141.12	Professional		$37.04	$37.04	$141.12