Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.63 / $336.63 / $336.63	Facility		$336.63	$336.63	$336.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $144.57 / $175.33	Professional		$113.09	$144.57	$175.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.60 / $273.04 / $498.63	Facility		$110.60	$273.04	$498.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.57 / $153.24 / $224.42	Facility		$144.57	$153.24	$224.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $85.65 / $85.65	Professional		$85.65	$85.65	$85.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.81 / $236.49 / $289.74	Facility		$163.81	$236.49	$289.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $53.91 / $288.23	Professional		$51.24	$53.91	$288.23
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $177.46 / $317.56	Professional		$158.96	$177.46	$317.56