Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $134.88 / $280.29	Professional		$63.56	$134.88	$280.29
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $28.40 / $133.72 / $243.39	Professional	25	$28.40	$133.72	$243.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $115.63 / $200.43	Professional		$62.59	$115.63	$200.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.36 / $121.50 / $200.74	Facility		$68.36	$121.50	$200.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $144.26 / $241.96	Professional		$100.37	$144.26	$241.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $221.31	Professional		$32.34	$32.34	$221.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $126.87 / $173.25	Professional		$99.90	$126.87	$173.25
United Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $142.68 / $205.90	Professional		$102.50	$142.68	$205.90