Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.62 / $922.62 / $1,329.12	Facility		$922.62	$922.62	$1,329.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.84 / $480.53 / $480.53	Professional		$357.84	$480.53	$480.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.74 / $541.62 / $1,993.68	Facility		$398.74	$541.62	$1,993.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.46 / $587.29 / $734.11	Professional		$485.46	$587.29	$734.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.53 / $996.84 / $1,056.65	Facility		$480.53	$996.84	$1,056.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $511.20 / $613.44	Professional		$511.20	$511.20	$613.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $78.00 / $511.20	Professional		$55.00	$78.00	$511.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $434.52 / $764.16 / $789.81	Professional		$434.52	$764.16	$789.81
United Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $214.70 / $766.80	Professional		$214.70	$214.70	$766.80