Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $113.86 / $194.85	Professional		$92.73	$113.86	$194.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $160.78 / $201.00	Professional		$106.77	$160.78	$201.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $152.65 / $188.88	Facility		$96.39	$152.65	$188.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.11 / $176.12 / $213.48	Professional		$152.11	$176.12	$213.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $196.66	Professional		$30.00	$55.00	$196.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $136.47 / $163.77 / $163.77	Facility		$136.47	$163.77	$163.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $163.18 / $191.68	Professional		$131.44	$163.18	$191.68
United Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $158.76 / $206.97	Professional		$116.28	$158.76	$206.97