Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $115.13 / $163.97	Professional		$99.00	$115.13	$163.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $169.51 / $204.40	Professional		$147.27	$169.51	$204.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.43 / $145.57 / $171.48	Facility		$101.43	$145.57	$171.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $183.40 / $203.78	Professional		$168.12	$183.40	$203.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $96.10 / $168.18	Professional		$32.34	$96.10	$168.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $95.55 / $116.73	Facility		$71.41	$95.55	$116.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.36 / $155.72 / $185.33	Professional		$132.36	$155.72	$185.33
United Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $157.00 / $216.93	Professional		$113.04	$157.00	$216.93