Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.98 / $1,199.98 / $1,662.00	Facility		$1,199.98	$1,199.98	$1,662.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.22 / $685.52 / $1,554.97	Professional		$581.22	$685.52	$1,554.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.44 / $1,027.58 / $1,177.97	Professional		$795.44	$1,027.58	$1,177.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $624.99 / $1,236.30 / $1,582.06	Facility		$624.99	$1,236.30	$1,582.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.60 / $1,258.92 / $1,541.56	Professional		$1,038.60	$1,258.92	$1,541.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,157.46	Professional		$32.34	$32.34	$1,157.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,212.21 / $1,312.46 / $1,541.56	Professional		$1,212.21	$1,312.46	$1,541.56
United Facility/Professional Professional Modifier Low / Median / High Price $697.68 / $795.13 / $1,277.23	Professional		$697.68	$795.13	$1,277.23