Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.62 / $909.62 / $1,310.40	Facility		$909.62	$909.62	$1,310.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.80 / $982.80 / $982.80	Professional		$352.80	$982.80	$982.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.40 / $533.99 / $1,965.60	Facility		$491.40	$533.99	$1,965.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.60 / $579.03 / $833.83	Professional		$375.60	$579.03	$833.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $473.76 / $982.80 / $1,081.08	Facility		$473.76	$982.80	$1,081.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $604.79	Professional		$504.00	$504.00	$604.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $385.56 / $504.00 / $982.80	Professional		$385.56	$504.00	$982.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $1,008.00 / $1,814.40	Facility		$756.00	$1,008.00	$1,814.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $886.45 / $886.45	Professional		$428.40	$886.45	$886.45
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $211.68 / $604.79	Professional		$211.68	$211.68	$604.79