Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.27 / $687.27 / $687.27	Facility		$687.27	$687.27	$687.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.46 / $687.27 / $987.30	Professional		$461.46	$687.27	$987.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $643.37 / $643.37	Professional		$65.25	$643.37	$643.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.47 / $461.46 / $987.30	Facility		$57.47	$461.46	$987.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $66.59 / $129.85	Professional		$38.84	$66.59	$129.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $621.46 / $621.46 / $621.46	Professional		$621.46	$621.46	$621.46
United Facility/Professional Professional Modifier Low / Median / High Price $354.13 / $388.47 / $556.57	Professional		$354.13	$388.47	$556.57