Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.07 / $794.83 / $804.18	Professional		$748.07	$794.83	$804.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $852.43 / $1,149.98	Facility		$794.83	$852.43	$1,149.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $806.63 / $1,152.33 / $1,936.87	Facility		$806.63	$1,152.33	$1,936.87