Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $79.76 / $110.62	Professional		$63.35	$79.76	$110.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $215.25 / $215.25 / $215.25	Professional	25	$215.25	$215.25	$215.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $118.04 / $137.87	Professional		$83.69	$118.04	$137.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $92.40 / $117.24	Facility		$64.98	$92.40	$117.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $120.58 / $137.80	Professional		$113.14	$120.58	$137.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $101.18 / $127.30	Professional		$32.34	$101.18	$127.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $105.97 / $124.91	Professional		$90.07	$105.97	$124.91
United Facility/Professional Professional Modifier Low / Median / High Price $77.33 / $104.50 / $135.04	Professional		$77.33	$104.50	$135.04