Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.39 / $935.39 / $1,347.53	Facility		$935.39	$935.39	$1,347.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.80 / $1,010.65 / $1,010.65	Professional		$362.80	$1,010.65	$1,010.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.26 / $1,078.02 / $2,021.28	Facility		$404.26	$1,078.02	$2,021.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $386.26 / $885.72	Professional		$225.84	$386.26	$885.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $623.59 / $1,010.65 / $1,111.72	Facility		$623.59	$1,010.65	$1,111.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $528.65 / $621.94	Professional		$518.28	$528.65	$621.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.48 / $466.45 / $1,010.65	Professional		$396.48	$466.45	$1,010.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $777.42 / $1,114.30 / $1,865.81	Facility		$777.42	$1,114.30	$1,865.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $889.88 / $911.62 / $911.62	Professional		$889.88	$911.62	$911.62
United Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $217.68 / $518.28	Professional		$217.68	$217.68	$518.28