Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $141.97 / $235.18	Professional		$109.09	$141.97	$235.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $184.92 / $236.98	Professional		$112.82	$184.92	$236.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.61 / $235.18 / $301.02	Facility		$107.61	$235.18	$301.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $389.64 / $400.68	Professional		$277.58	$389.64	$400.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.72 / $3,900.00	Professional		$32.34	$63.72	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.21 / $239.07 / $240.51	Professional		$203.21	$239.07	$240.51
United Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $279.80 / $489.60	Professional		$223.84	$279.80	$489.60