Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.35 / $165.35 / $218.61	Facility		$165.35	$165.35	$218.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $138.41 / $390.00	Professional		$80.22	$138.41	$390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $176.35 / $239.34	Professional		$118.30	$176.35	$239.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.76 / $154.13 / $215.36	Facility		$94.76	$154.13	$215.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $188.90 / $259.42	Professional		$155.84	$188.90	$259.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $237.61	Professional		$30.00	$55.00	$237.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $198.72 / $198.72	Facility		$165.60	$198.72	$198.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.52 / $171.35 / $229.98	Professional		$143.52	$171.35	$229.98
United Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $185.76 / $247.22	Professional		$135.44	$185.76	$247.22