Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.88 / $543.88 / $783.51	Facility		$543.88	$543.88	$783.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $587.63 / $587.63	Professional		$210.95	$587.63	$587.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.06 / $626.82 / $1,175.28	Facility		$235.06	$626.82	$1,175.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $362.59 / $587.63 / $646.39	Facility		$362.59	$587.63	$646.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $361.62	Professional		$301.35	$301.35	$361.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $587.63	Professional		$30.00	$30.00	$587.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $452.03 / $602.70 / $1,084.85	Facility		$452.03	$602.70	$1,084.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $450.24 / $450.24 / $465.30	Professional		$450.24	$450.24	$465.30
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $346.55	Professional		$126.57	$126.57	$346.55