Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $627.36 / $9,203.04	Facility		$627.36	$627.36	$9,203.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.60 / $627.36 / $796.38	Professional		$612.60	$627.36	$796.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $768.90 / $1,045.70	Facility		$627.36	$768.90	$1,045.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $612.60 / $666.48 / $812.47	Facility		$612.60	$666.48	$812.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $332.44 / $531.90 / $560.79	Professional		$332.44	$531.90	$560.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $631.04 / $3,500.00	Professional		$30.00	$631.04	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.88 / $922.68 / $1,508.91	Facility		$645.88	$922.68	$1,508.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $615.12 / $841.40 / $876.46	Professional		$615.12	$841.40	$876.46
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $615.05	Professional		$615.05	$615.05	$615.05