Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.32 / $1,014.96 / $1,192.01	Professional		$912.32	$1,014.96	$1,192.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.46 / $1,192.79 / $1,438.36	Professional		$1,052.46	$1,192.79	$1,438.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $805.15 / $1,083.45 / $1,428.26	Facility		$805.15	$1,083.45	$1,428.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $953.06 / $953.06 / $953.06	Professional		$953.06	$953.06	$953.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $733.12 / $3,500.00	Professional		$30.00	$733.12	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $966.21 / $1,315.90 / $1,623.96	Facility		$966.21	$1,315.90	$1,623.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,128.66 / $1,295.94 / $1,327.83	Professional		$1,128.66	$1,295.94	$1,327.83
United Facility/Professional Professional Modifier Low / Median / High Price $895.65 / $1,296.33 / $1,633.70	Professional		$895.65	$1,296.33	$1,633.70