Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.65 / $844.65 / $1,216.80	Facility		$844.65	$844.65	$1,216.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $912.60 / $912.60	Professional		$327.60	$912.60	$912.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.04 / $973.44 / $1,825.20	Facility		$365.04	$973.44	$1,825.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.56 / $348.81 / $774.78	Professional		$197.56	$348.81	$774.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $563.10 / $912.60 / $1,003.86	Facility		$563.10	$912.60	$1,003.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $561.60	Professional		$468.00	$468.00	$561.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $358.02 / $421.20 / $912.60	Professional		$358.02	$421.20	$912.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,006.20 / $1,684.80	Facility		$702.00	$1,006.20	$1,684.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $803.74 / $823.21 / $823.21	Professional		$803.74	$823.21	$823.21
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $196.56 / $538.20	Professional		$196.56	$196.56	$538.20