Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.72 / $251.92 / $291.57	Professional		$114.72	$251.92	$291.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $132.82 / $156.25	Professional		$113.83	$132.82	$156.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.85 / $264.52 / $320.73	Facility		$193.85	$264.52	$320.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.42 / $238.17 / $281.26	Professional		$212.42	$238.17	$281.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $282.05	Professional		$32.34	$32.34	$282.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $250.18 / $271.08	Professional		$223.00	$250.18	$271.08
United Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $118.04 / $207.25	Professional		$107.40	$118.04	$207.25