Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.93 / $746.93 / $746.93	Facility		$746.93	$746.93	$746.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.14 / $634.38 / $634.38	Professional		$347.14	$634.38	$634.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.11 / $1,382.83 / $1,651.75	Facility		$669.11	$1,382.83	$1,651.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.31 / $519.09 / $638.75	Professional		$290.31	$519.09	$638.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.16 / $534.58 / $672.44	Facility		$147.16	$534.58	$672.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.55 / $512.86 / $586.12	Professional		$483.55	$512.86	$586.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $520.17	Professional		$32.34	$32.34	$520.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $949.44 / $1,387.38 / $1,900.31	Facility		$949.44	$1,387.38	$1,900.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $598.16 / $634.30 / $726.77	Professional		$598.16	$634.30	$726.77
United Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $300.69 / $656.89	Professional		$278.89	$300.69	$656.89