Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $166.31 / $166.31	Professional		$74.84	$166.31	$166.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.12 / $129.63 / $129.63	Facility		$119.12	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $206.54	Professional		$94.64	$94.64	$206.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $133.79 / $189.93	Facility		$55.99	$133.79	$189.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $180.43 / $189.93	Professional		$170.94	$180.43	$189.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $141.88 / $170.94	Professional		$30.00	$141.88	$170.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $185.48 / $278.22	Facility		$166.31	$185.48	$278.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $137.69 / $199.43	Professional		$132.94	$137.69	$199.43
United Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $86.72 / $137.54	Professional		$80.18	$86.72	$137.54