Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.22 / $833.56 / $1,083.63	Facility		$800.22	$833.56	$1,083.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,625.46 / $1,625.46 / $1,625.46	Facility		$1,625.46	$1,625.46	$1,625.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $458.46 / $625.16	Facility		$416.78	$458.46	$625.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $500.14	Professional		$416.78	$416.78	$500.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $416.78	Professional		$30.00	$30.00	$416.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $625.16 / $833.56 / $1,500.41	Facility		$625.16	$833.56	$1,500.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $622.87 / $622.87 / $643.78	Professional		$622.87	$622.87	$643.78
United Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $175.07 / $479.30	Professional		$165.11	$175.07	$479.30