Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Facility		$127.55	$127.55	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $160.04 / $181.86	Professional		$127.55	$160.04	$181.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $145.49 / $145.49	Facility		$137.25	$145.49	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $181.86 / $232.78	Facility		$127.55	$181.86	$232.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $154.22 / $181.86	Professional		$145.49	$154.22	$181.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $265.06	Professional		$30.00	$78.00	$265.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.58 / $174.58 / $174.58	Professional		$174.58	$174.58	$174.58
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49