Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.43 / $494.43 / $568.59	Facility		$494.43	$494.43	$568.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $545.10 / $619.42	Professional		$494.43	$545.10	$619.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $495.55 / $495.55	Facility		$467.50	$495.55	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $545.10 / $656.60 / $885.78	Facility		$545.10	$656.60	$885.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $619.44	Professional		$495.55	$495.55	$619.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $484.40 / $484.40 / $484.40	Professional		$484.40	$484.40	$484.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $495.55 / $725.76	Facility		$495.55	$495.55	$725.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $546.98 / $594.65 / $594.65	Professional		$546.98	$594.65	$594.65
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55