Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.24 / $702.24 / $702.24	Facility		$702.24	$702.24	$702.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $301.17 / $366.10	Professional		$217.25	$301.17	$366.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $162.47 / $851.09	Professional		$162.47	$162.47	$851.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.74 / $307.19 / $430.67	Facility		$95.74	$307.19	$430.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.95 / $164.95 / $164.95	Professional		$164.95	$164.95	$164.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,900.00	Professional		$30.00	$30.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $153.72 / $303.58	Professional		$130.66	$153.72	$303.58
United Facility/Professional Professional Modifier Low / Median / High Price $364.68 / $386.66 / $662.31	Professional		$364.68	$386.66	$662.31