Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.32 / $735.32 / $1,059.32	Facility		$735.32	$735.32	$1,059.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $123.26 / $123.26	Professional		$123.26	$123.26	$123.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.80 / $847.46 / $1,588.98	Facility		$317.80	$847.46	$1,588.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.21 / $794.49 / $873.94	Facility		$490.21	$794.49	$873.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $427.80 / $488.92	Professional		$407.43	$427.80	$488.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $794.49	Professional		$30.00	$30.00	$794.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $611.15 / $814.86 / $1,466.75	Facility		$611.15	$814.86	$1,466.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $608.94 / $608.94 / $629.13	Professional		$608.94	$608.94	$629.13
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $369.78	Professional		$103.54	$103.54	$369.78