Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.09 / $145.09 / $145.09	Facility		$145.09	$145.09	$145.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $145.09 / $200.19	Professional		$106.95	$145.09	$200.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $164.60	Facility		$114.47	$114.47	$164.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $178.20	Professional		$97.30	$114.47	$178.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $115.38 / $200.19	Facility		$81.81	$115.38	$200.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $163.33 / $209.24	Professional		$20.95	$163.33	$209.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $16.89 / $147.34	Professional		$11.05	$16.89	$147.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $163.94 / $290.39	Facility		$163.94	$163.94	$290.39
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $101.89 / $170.67	Professional		$87.07	$101.89	$170.67