Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $4,963.20	Facility		$793.42	$793.42	$4,963.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.74 / $793.42 / $802.75	Professional		$746.74	$793.42	$802.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Facility		$793.42	$793.42	$793.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $802.75 / $1,147.93	Facility		$793.42	$802.75	$1,147.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $78.00	Professional		$30.00	$30.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $886.75 / $1,249.52 / $2,095.96	Facility		$886.75	$1,249.52	$2,095.96
United Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $1,244.58	Professional		$777.86	$777.86	$1,244.58