Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $32.09 / $52.94	Facility		$32.09	$32.09	$52.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $63.06 / $78.83	Professional		$38.83	$63.06	$78.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $59.49 / $63.06	Facility		$59.49	$59.49	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $83.56 / $230.67	Facility		$69.37	$83.56	$230.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $78.83	Professional		$63.06	$63.06	$78.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $80.95 / $80.95	Professional		$80.95	$80.95	$80.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $110.74 / $170.85 / $307.04	Facility		$110.74	$170.85	$307.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $75.67 / $78.83	Professional		$75.67	$75.67	$78.83
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $100.90	Professional		$63.06	$63.06	$100.90