Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.13 / $75.13 / $103.62	Facility		$75.13	$75.13	$103.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $87.55 / $104.44	Professional		$64.75	$87.55	$104.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $102.67 / $102.67	Professional		$102.67	$102.67	$102.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $103.62 / $131.47	Facility		$67.62	$103.62	$131.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.36 / $160.44 / $223.20	Professional		$132.36	$160.44	$223.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $202.06	Professional		$30.00	$55.00	$202.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $127.80 / $170.64	Professional		$112.73	$127.80	$170.64
United Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $102.12 / $139.85	Professional		$84.37	$102.12	$139.85