Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $160.78 / $350.00	Professional		$91.65	$160.78	$350.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $137.07 / $162.38 / $341.58	Professional	25	$137.07	$162.38	$341.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $137.66 / $239.25	Professional		$75.00	$137.66	$239.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.25 / $152.00 / $238.79	Facility		$81.25	$152.00	$238.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $178.56 / $285.94	Professional		$124.23	$178.56	$285.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $262.58	Professional		$32.34	$32.34	$262.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $157.55 / $205.13	Professional		$124.10	$157.55	$205.13
United Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $179.74 / $245.34	Professional		$123.25	$179.74	$245.34