Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.25 / $202.25 / $434.40	Facility		$202.25	$202.25	$434.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $177.62 / $323.26	Professional		$151.33	$177.62	$323.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $180.16 / $243.04	Facility		$169.96	$180.16	$243.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $166.75 / $183.43	Professional		$166.75	$166.75	$183.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $219.94 / $219.94 / $224.94	Professional		$219.94	$219.94	$224.94
United Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $200.10 / $200.10	Professional		$188.43	$200.10	$200.10