Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.59 / $99.59 / $99.59	Facility		$99.59	$99.59	$99.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $100.26 / $137.36	Professional		$90.76	$100.26	$137.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.21 / $110.29 / $147.13	Facility		$96.21	$110.29	$147.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.92 / $183.40 / $209.60	Professional		$172.92	$183.40	$209.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $194.20	Professional		$30.00	$55.00	$194.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.81 / $161.78 / $161.78	Facility		$134.81	$161.78	$161.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $161.19 / $169.06	Professional		$137.01	$161.19	$169.06
United Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $154.00 / $206.04	Professional		$115.07	$154.00	$206.04