Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $99.25 / $341.00	Professional		$53.55	$99.25	$341.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $124.68 / $175.01	Professional		$82.14	$124.68	$175.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.61 / $105.89 / $157.52	Facility		$64.61	$105.89	$157.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $128.10 / $190.20	Professional		$105.68	$128.10	$190.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $174.35	Professional		$30.00	$55.00	$174.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $122.34 / $146.81 / $146.81	Facility		$122.34	$146.81	$146.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $124.33 / $168.83	Professional		$96.53	$124.33	$168.83
United Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $133.91 / $180.77	Professional		$100.81	$133.91	$180.77