Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $249.65	Facility		$217.09	$217.09	$249.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $223.60 / $271.36	Professional		$217.09	$223.60	$271.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $204.80 / $217.09	Facility		$204.80	$204.80	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $271.36 / $347.34	Facility		$217.09	$271.36	$347.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $230.11 / $271.36	Professional		$217.09	$230.11	$271.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.83 / $193.28 / $418.78	Professional		$159.83	$193.28	$418.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $224.21 / $315.94 / $536.40	Facility		$224.21	$315.94	$536.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.51 / $260.51 / $271.36	Professional		$260.51	$260.51	$271.36
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $230.12	Professional		$217.09	$217.09	$230.12