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 $503.51 / $1,040.58 / $1,242.42	Facility		$503.51	$1,040.58	$1,242.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.48 / $315.48 / $499.46	Professional		$315.48	$315.48	$499.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.25 / $641.84 / $830.62	Facility		$223.25	$641.84	$830.62
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 $714.15 / $1,002.87 / $1,228.71	Facility		$714.15	$1,002.87	$1,228.71
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 $319.75 / $394.99 / $773.63	Professional		$319.75	$394.99	$773.63