Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.21 / $760.21 / $1,083.63	Facility		$760.21	$760.21	$1,083.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $812.72 / $812.72	Professional		$291.75	$812.72	$812.72
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 $506.80 / $812.72 / $893.99	Facility		$506.80	$812.72	$893.99
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 / $30.00	Professional		$30.00	$30.00	$30.00
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 $175.05 / $175.05 / $479.30	Professional		$175.05	$175.05	$479.30