Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.08 / $1,116.08 / $1,116.08	Facility		$1,116.08	$1,116.08	$1,116.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $154.78 / $1,116.08	Professional		$72.81	$154.78	$1,116.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.49 / $154.78 / $198.12	Facility		$88.49	$154.78	$198.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.72 / $1,420.86 / $1,420.86	Professional		$172.72	$1,420.86	$1,420.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $1,438.66	Professional		$1,438.66	$1,438.66	$1,438.66