Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $107.99 / $107.99	Professional		$76.39	$107.99	$107.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $80.58	Facility		$60.21	$60.21	$80.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.21 / $64.19	Professional		$43.95	$60.21	$64.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $90.50 / $128.47	Facility		$31.03	$90.50	$128.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $122.05 / $128.47	Professional		$115.62	$122.05	$128.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $94.80 / $112.91	Professional		$30.00	$94.80	$112.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.49 / $125.46 / $188.19	Facility		$112.49	$125.46	$188.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $89.93 / $134.88	Professional		$89.93	$89.93	$134.88
United Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $48.07 / $99.55	Professional		$44.44	$48.07	$99.55