Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $80.43 / $96.63	Professional		$75.81	$80.43	$96.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $147.75 / $162.13	Professional		$147.75	$147.75	$162.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $79.59 / $113.59	Facility		$75.81	$79.59	$113.59
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 $679.97 / $951.26 / $1,168.92	Facility		$679.97	$951.26	$1,168.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.71 / $139.80 / $139.80	Professional		$118.71	$139.80	$139.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.05 / $92.72 / $165.92	Professional		$83.05	$92.72	$165.92