Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $76.06 / $94.56	Professional		$57.93	$76.06	$94.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $115.16 / $153.05	Professional		$74.75	$115.16	$153.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $99.29 / $130.01	Facility		$67.04	$99.29	$130.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $126.34 / $140.38	Professional		$115.81	$126.34	$140.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $107.96 / $128.93	Professional		$91.77	$107.96	$128.93
United Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $108.00 / $139.90	Professional		$81.03	$108.00	$139.90