Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.48 / $840.48 / $840.48	Facility		$840.48	$840.48	$840.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $631.70 / $840.48	Professional		$587.63	$631.70	$840.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.66 / $663.29 / $988.80	Facility		$609.66	$663.29	$988.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.01 / $666.77 / $842.13	Professional		$381.01	$666.77	$842.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $845.42 / $3,500.00	Professional		$30.00	$845.42	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $932.80 / $1,310.16 / $2,183.60	Facility		$932.80	$1,310.16	$2,183.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $873.44 / $1,171.96 / $1,220.79	Professional		$873.44	$1,171.96	$1,220.79
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $612.11	Professional		$612.11	$612.11	$612.11