Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.72 / $152.72 / $152.72	Facility		$152.72	$152.72	$152.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $152.72 / $253.75	Professional		$119.48	$152.72	$253.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $281.12	Facility		$126.72	$126.72	$281.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $226.80	Professional		$107.71	$126.72	$226.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $171.45 / $302.69	Facility		$119.48	$171.45	$302.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $181.27 / $376.16	Professional		$35.72	$181.27	$376.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $208.64 / $214.08	Professional		$20.86	$208.64	$214.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $175.99 / $175.99 / $368.19	Facility		$175.99	$175.99	$368.19
United Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $153.75 / $291.49	Professional		$111.19	$153.75	$291.49