Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $816.00 / $825.60	Professional		$768.00	$816.00	$825.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $825.60 / $1,180.60	Facility		$37.83	$825.60	$1,180.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $51.21 / $51.21	Professional		$45.93	$51.21	$51.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,142.41 / $1,142.41 / $1,142.41	Professional		$1,142.41	$1,142.41	$1,142.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,179.17 / $1,607.96 / $3,552.74	Facility		$1,179.17	$1,607.96	$3,552.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $1,020.00	Professional		$816.00	$816.00	$1,020.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Professional		$800.00	$800.00	$800.00