Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $374.98 / $379.39	Professional		$352.92	$374.98	$379.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $402.15 / $542.53	Facility		$374.98	$402.15	$542.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $7.10 / $7.10	Professional		$7.10	$7.10	$7.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $46.88	Professional		$37.50	$37.50	$46.88
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $588.21	Professional		$367.63	$367.63	$588.21