Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.12 / $252.00 / $252.00	Facility		$209.12	$252.00	$252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $252.00	Professional		$38.00	$50.50	$252.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $183.00 / $271.50	Professional		$150.00	$183.00	$271.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $209.12 / $255.02	Professional		$82.00	$209.12	$255.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $115.54	Professional		$30.00	$55.00	$115.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $234.00 / $280.00	Professional		$204.00	$234.00	$280.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $74.00	Professional		$38.00	$53.00	$74.00