Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $84.95 / $125.20	Professional		$84.95	$84.95	$125.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.71 / $246.71 / $246.71	Professional		$246.71	$246.71	$246.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $86.65 / $108.74	Facility		$84.19	$86.65	$108.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $186.23	Professional		$80.00	$80.00	$186.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $55.16 / $71.89	Professional		$46.89	$55.16	$71.89
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00