Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $370.03	Facility		$289.08	$289.08	$370.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $282.27 / $292.49	Professional		$272.08	$282.27	$292.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Facility		$289.08	$289.08	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $310.04 / $418.26	Facility		$289.08	$310.04	$418.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $155.88 / $155.88	Professional		$155.88	$155.88	$155.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $166.07 / $237.24 / $403.31	Facility		$166.07	$237.24	$403.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $82.60 / $103.25	Professional		$82.60	$82.60	$103.25
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $283.42	Professional		$283.42	$283.42	$283.42