Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.41 / $257.41 / $370.84	Facility		$257.41	$257.41	$370.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $133.36 / $278.13	Professional		$117.23	$133.36	$278.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.25 / $296.67 / $556.26	Facility		$111.25	$296.67	$556.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $106.39 / $243.95	Professional		$62.20	$106.39	$243.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.61 / $278.13 / $305.94	Facility		$171.61	$278.13	$305.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $145.47 / $171.16	Professional		$142.63	$145.47	$171.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.11 / $128.37 / $278.13	Professional		$109.11	$128.37	$278.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $306.64 / $513.47	Facility		$213.95	$306.64	$513.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.02 / $250.59 / $250.59	Professional		$245.02	$250.59	$250.59
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $164.02	Professional		$59.90	$59.90	$164.02