Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Facility		$172.00	$172.00	$172.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $471.74 / $498.32	Professional		$294.83	$471.74	$498.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $465.67	Facility		$465.67	$465.67	$465.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $465.67 / $496.43	Professional		$339.94	$465.67	$496.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.72 / $443.19 / $482.47	Facility		$322.72	$443.19	$482.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.87 / $421.03 / $451.52	Professional		$398.87	$421.03	$451.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $452.62 / $537.65	Professional		$30.00	$452.62	$537.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $438.37 / $438.37 / $657.56	Facility		$438.37	$438.37	$657.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.06 / $329.61 / $474.10	Professional		$316.06	$329.61	$474.10
United Facility/Professional Professional Modifier Low / Median / High Price $321.64 / $341.71 / $536.08	Professional		$321.64	$341.71	$536.08