Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $802.00 / $802.00	Facility		$802.00	$802.00	$802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.79 / $223.25 / $371.00	Professional		$201.79	$223.25	$371.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.62 / $650.22 / $776.70	Facility		$314.62	$650.22	$776.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.48 / $315.48 / $346.20	Professional		$315.48	$315.48	$346.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.25 / $400.81 / $518.69	Facility		$223.25	$400.81	$518.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.46 / $499.46 / $499.46	Professional		$499.46	$499.46	$499.46
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 Facility Modifier Low / Median / High Price $446.45 / $635.64 / $778.79	Facility		$446.45	$635.64	$778.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.73 / $298.50 / $313.52	Professional		$253.73	$298.50	$313.52
United Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $246.74 / $442.77	Professional		$199.74	$246.74	$442.77