Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $131.75 / $248.50	Professional		$97.34	$131.75	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.78 / $183.04 / $264.86	Professional		$114.78	$183.04	$264.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $167.29 / $197.43	Facility		$122.31	$167.29	$197.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $175.26 / $192.14	Professional		$158.52	$175.26	$192.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $178.04	Professional		$30.00	$55.00	$178.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.80 / $150.47 / $230.71	Facility		$147.80	$150.47	$230.71
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $159.00 / $210.15	Professional		$117.36	$159.00	$210.15