Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $307.72 / $307.72	Facility		$109.76	$307.72	$307.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $169.24 / $272.04	Professional		$64.30	$169.24	$272.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $177.80 / $332.45	Professional		$81.93	$177.80	$332.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.09 / $489.09 / $565.07	Professional		$489.09	$489.09	$565.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.11 / $178.69 / $284.45	Facility		$79.11	$178.69	$284.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $220.40 / $386.86	Professional		$105.68	$220.40	$386.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $113.50 / $348.45	Professional		$32.34	$113.50	$348.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $247.99 / $297.58 / $438.37	Facility		$247.99	$297.58	$438.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $139.87 / $318.62	Professional		$98.01	$139.87	$318.62
United Facility/Professional Professional Modifier Low / Median / High Price $202.99 / $224.55 / $362.20	Professional		$202.99	$224.55	$362.20