Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.29 / $1,147.86 / $2,355.05	Professional		$769.29	$1,147.86	$2,355.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.55 / $1,379.92 / $1,855.85	Professional		$899.55	$1,379.92	$1,855.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $842.34 / $1,216.74 / $1,550.92	Facility		$842.34	$1,216.74	$1,550.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.42 / $1,535.36 / $1,705.96	Professional		$1,407.42	$1,535.36	$1,705.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,581.88	Professional		$32.34	$32.34	$1,581.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,119.77 / $1,317.38 / $1,585.82	Professional		$1,119.77	$1,317.38	$1,585.82
United Facility/Professional Professional Modifier Low / Median / High Price $951.47 / $1,250.49 / $1,647.94	Professional		$951.47	$1,250.49	$1,647.94