Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.74 / $642.74 / $925.94	Facility		$642.74	$642.74	$925.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.29 / $249.29 / $249.29	Professional		$249.29	$249.29	$249.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.77 / $740.74 / $1,388.88	Facility		$277.77	$740.74	$1,388.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $428.49 / $694.45 / $763.90	Facility		$428.49	$694.45	$763.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $427.36	Professional		$356.13	$356.13	$427.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $694.45	Professional		$30.00	$30.00	$694.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $534.20 / $712.26 / $1,282.07	Facility		$534.20	$712.26	$1,282.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $532.32 / $532.32 / $550.09	Professional		$532.32	$532.32	$550.09
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $149.57 / $409.55	Professional		$149.57	$149.57	$409.55