Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.90 / $742.90 / $854.34	Facility		$742.90	$742.90	$854.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.90 / $823.73 / $936.06	Professional		$742.90	$823.73	$936.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.46 / $748.84 / $748.84	Facility		$706.46	$748.84	$748.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Professional		$748.84	$748.84	$748.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $936.06 / $1,338.57	Facility		$44.00	$936.06	$1,338.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $936.06	Professional		$748.85	$748.85	$936.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $714.72 / $714.72 / $714.72	Professional		$714.72	$714.72	$714.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $750.77 / $1,059.26 / $1,774.55	Facility		$750.77	$1,059.26	$1,774.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $898.61 / $898.61 / $936.06	Professional		$898.61	$898.61	$936.06
United Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $748.85 / $748.85	Professional		$142.78	$748.85	$748.85