Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.48 / $453.48 / $453.48	Facility		$453.48	$453.48	$453.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.39 / $453.48 / $625.01	Professional		$322.39	$453.48	$625.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $354.55 / $517.28	Facility		$354.55	$354.55	$517.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.37 / $354.55 / $427.32	Professional		$301.37	$354.55	$427.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.29 / $322.39 / $625.01	Facility		$239.29	$322.39	$625.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $493.17 / $692.15	Professional		$65.75	$493.17	$692.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $458.48 / $470.74	Professional		$45.84	$458.48	$470.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $510.33 / $510.33 / $906.60	Facility		$510.33	$510.33	$906.60
United Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $314.86 / $536.37	Professional		$272.36	$314.86	$536.37