Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $93.80 / $127.94	Professional		$71.17	$93.80	$127.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.07 / $135.77 / $183.99	Professional		$104.07	$135.77	$183.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.72 / $114.66 / $155.11	Facility		$77.72	$114.66	$155.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.04 / $163.68 / $198.60	Professional		$135.04	$163.68	$198.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $78.00	Professional		$30.00	$55.00	$78.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $145.46 / $175.70	Professional		$116.14	$145.46	$175.70
United Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $139.00 / $185.20	Professional		$108.72	$139.00	$185.20