Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.28 / $205.28 / $205.28	Facility		$205.28	$205.28	$205.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $225.07 / $752.50	Professional		$204.61	$225.07	$752.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $204.61 / $256.95	Facility		$193.03	$204.61	$256.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $204.61 / $234.28	Professional		$200.06	$204.61	$234.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.28 / $214.84 / $271.11	Facility		$205.28	$214.84	$271.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $255.76	Professional		$204.61	$204.61	$255.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.69 / $151.74 / $205.24	Professional		$151.69	$151.74	$205.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $225.15 / $308.33 / $524.17	Facility		$225.15	$308.33	$524.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $205.56 / $255.76	Professional		$204.61	$205.56	$255.76
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $204.61	Professional		$81.84	$204.61	$204.61