Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.76 / $1,087.76 / $1,567.02	Facility		$1,087.76	$1,087.76	$1,567.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.89 / $566.54 / $566.54	Professional		$421.89	$566.54	$566.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.11 / $1,253.63 / $2,350.56	Facility		$470.11	$1,253.63	$2,350.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $725.17 / $1,175.27 / $1,292.80	Facility		$725.17	$1,175.27	$1,292.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $602.70 / $723.24	Professional		$602.70	$602.70	$723.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,175.27	Professional		$30.00	$30.00	$1,175.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $904.05 / $1,205.40 / $2,169.71	Facility		$904.05	$1,205.40	$2,169.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $900.97 / $900.97 / $931.13	Professional		$900.97	$900.97	$931.13
United Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $253.13 / $693.11	Professional		$253.13	$253.13	$693.11