Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $121.27 / $389.47	Professional		$71.59	$121.27	$389.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $154.06 / $209.17	Professional		$100.68	$154.06	$209.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $134.47 / $187.89	Facility		$84.33	$134.47	$187.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $165.62 / $227.72	Professional		$136.63	$165.62	$227.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $208.38	Professional		$30.00	$55.00	$208.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $145.21 / $174.26 / $174.26	Facility		$145.21	$174.26	$174.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $150.41 / $201.23	Professional		$124.06	$150.41	$201.23
United Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $155.47 / $211.69	Professional		$121.98	$155.47	$211.69