Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.35 / $698.35 / $698.35	Facility		$698.35	$698.35	$698.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.82 / $594.33 / $594.33	Professional		$316.82	$594.33	$594.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.80 / $3,692.73 / $4,407.60	Facility		$1,786.80	$3,692.73	$4,407.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $484.48 / $671.57	Professional		$331.42	$484.48	$671.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.12 / $492.61 / $700.20	Facility		$233.12	$492.61	$700.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.92 / $477.19 / $546.67	Professional		$449.92	$477.19	$546.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $486.35	Professional		$32.34	$32.34	$486.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,033.00 / $3,382.33 / $4,870.55	Facility		$2,033.00	$3,382.33	$4,870.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $552.45 / $592.53 / $675.01	Professional		$552.45	$592.53	$675.01
United Facility/Professional Professional Modifier Low / Median / High Price $270.56 / $335.16 / $697.69	Professional		$270.56	$335.16	$697.69