Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $81.18 / $113.47	Professional		$62.80	$81.18	$113.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $110.55 / $156.72	Professional		$92.69	$110.55	$156.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.75 / $92.01 / $124.82	Facility		$67.75	$92.01	$124.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.01 / $133.44 / $161.74	Professional		$119.01	$133.44	$161.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $133.02 / $158.50	Professional		$76.01	$133.02	$158.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $117.25 / $140.88	Professional		$99.84	$117.25	$140.88
United Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $120.51 / $151.83	Professional		$90.81	$120.51	$151.83