Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $124.61 / $208.74	Professional		$92.34	$124.61	$208.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $150.66 / $168.21	Professional		$123.08	$150.66	$168.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $175.42 / $207.23	Facility		$33.79	$175.42	$207.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.58 / $216.58 / $216.58	Professional		$216.58	$216.58	$216.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.56 / $3,900.00	Professional		$32.34	$51.56	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $178.79 / $178.79	Professional		$165.74	$178.79	$178.79
United Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $97.87 / $169.11	Professional		$72.45	$97.87	$169.11