Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.90 / $156.28 / $183.86	Facility		$137.90	$156.28	$183.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $116.73 / $156.28	Professional		$90.96	$116.73	$156.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $120.00 / $208.78	Professional		$81.00	$120.00	$208.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.11 / $147.38 / $193.05	Facility		$111.11	$147.38	$193.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $196.69 / $234.84	Professional		$175.07	$196.69	$234.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $112.35 / $219.08	Professional		$32.34	$112.35	$219.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $161.69 / $213.95	Professional		$128.61	$161.69	$213.95
United Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $191.39	Professional		$111.08	$130.68	$191.39