Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.34 / $121.34 / $134.97	Facility		$121.34	$121.34	$134.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $103.70 / $136.82	Professional		$82.88	$103.70	$136.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $139.41 / $176.50	Professional		$66.00	$139.41	$176.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.27 / $118.63 / $141.72	Facility		$86.27	$118.63	$141.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $172.02 / $197.96	Professional		$143.04	$172.02	$197.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $95.85 / $186.91	Professional		$32.34	$95.85	$186.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $111.21 / $153.86	Professional		$85.05	$111.21	$153.86
United Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $103.75 / $155.12	Professional		$71.42	$103.75	$155.12