Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.48 / $1,008.00 / $1,008.00	Facility		$836.48	$1,008.00	$1,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $1,008.00	Professional		$38.00	$50.50	$1,008.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $915.00 / $1,357.50	Professional		$750.00	$915.00	$1,357.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $541.20 / $836.48 / $1,020.08	Professional		$541.20	$836.48	$1,020.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $567.16	Professional		$30.00	$55.00	$567.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $936.00 / $1,120.00	Professional		$816.00	$936.00	$1,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $54.00 / $74.00	Professional		$38.00	$54.00	$74.00