Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.11 / $1,079.11 / $1,554.57	Facility		$1,079.11	$1,079.11	$1,554.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.54 / $1,165.92 / $1,165.92	Professional		$418.54	$1,165.92	$1,165.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.37 / $1,243.65 / $2,331.84	Facility		$466.37	$1,243.65	$2,331.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $719.41 / $1,165.92 / $1,282.51	Facility		$719.41	$1,165.92	$1,282.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $717.49	Professional		$597.91	$597.91	$717.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,165.92	Professional		$30.00	$30.00	$1,165.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $896.87 / $1,195.82 / $2,152.48	Facility		$896.87	$1,195.82	$2,152.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $893.51 / $893.51 / $950.92	Professional		$893.51	$893.51	$950.92
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $251.12 / $687.60	Professional		$251.12	$251.12	$687.60