Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $784.55 / $793.78	Professional		$738.40	$784.55	$793.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $793.78 / $1,135.10	Facility		$784.55	$793.78	$1,135.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $670.79 / $1,709.86	Professional		$30.00	$670.79	$1,709.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $1,099.45 / $1,692.70	Facility		$0.85	$1,099.45	$1,692.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $876.85 / $1,052.22 / $1,096.06	Professional		$876.85	$1,052.22	$1,096.06
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $1,076.83	Professional		$769.17	$769.17	$1,076.83