Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $170.56 / $313.55	Professional		$131.80	$170.56	$313.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.80 / $202.29 / $335.20	Facility		$131.80	$202.29	$335.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.47 / $219.47 / $231.02	Professional		$219.47	$219.47	$231.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $203.05 / $450.49	Professional		$30.00	$203.05	$450.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $242.57	Professional		$161.71	$161.71	$242.57
United Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $97.97 / $158.81	Professional		$93.23	$97.97	$158.81