Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.82 / $111.82 / $111.82	Facility		$111.82	$111.82	$111.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $116.22 / $163.83	Professional		$100.50	$116.22	$163.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $117.99 / $160.77	Facility		$100.50	$117.99	$160.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.67 / $204.35 / $233.54	Professional		$192.67	$204.35	$233.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $218.05	Professional		$30.00	$55.00	$218.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $179.60 / $188.42	Professional		$152.66	$179.60	$188.42
United Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $163.80 / $229.33	Professional		$134.68	$163.80	$229.33