Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $139.56 / $239.83	Professional		$110.55	$139.56	$239.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $177.48 / $221.85	Professional		$109.10	$177.48	$221.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.89 / $227.63 / $284.82	Facility		$109.89	$227.63	$284.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.99 / $184.44 / $294.52	Professional		$177.99	$184.44	$294.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.36 / $3,900.00	Professional		$32.34	$103.36	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.79 / $239.75 / $240.53	Professional		$203.79	$239.75	$240.53
United Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $137.00 / $246.75	Professional		$132.50	$137.00	$246.75