Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.70 / $97.13 / $114.27	Facility		$85.70	$97.13	$114.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $98.75 / $130.85	Professional		$77.66	$98.75	$130.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $111.60 / $187.41	Professional		$63.00	$111.60	$187.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $119.55 / $170.01	Facility		$95.02	$119.55	$170.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $179.45 / $205.72	Professional		$169.19	$179.45	$205.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.68 / $176.19	Professional		$32.34	$100.68	$176.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.86 / $93.86 / $93.86	Facility		$93.86	$93.86	$93.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $117.57 / $169.56	Professional		$92.68	$117.57	$169.56
United Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $112.86 / $172.99	Professional		$84.67	$112.86	$172.99