Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.84 / $118.84 / $118.84	Facility		$118.84	$118.84	$118.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $129.60 / $238.76	Professional		$117.75	$129.60	$238.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $130.56 / $222.41	Facility		$118.69	$130.56	$222.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $220.20 / $251.66	Professional		$207.62	$220.20	$251.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $231.74	Professional		$30.00	$55.00	$231.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $193.53 / $220.02	Professional		$164.50	$193.53	$220.02
United Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $194.04 / $260.43	Professional		$144.78	$194.04	$260.43