Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Facility		$520.71	$520.71	$520.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $520.71 / $526.84	Professional		$490.08	$520.71	$526.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Facility		$520.71	$520.71	$520.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $558.45 / $753.38	Facility		$520.71	$558.45	$753.38
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 Facility Modifier Low / Median / High Price $520.71 / $520.71 / $1,075.61	Facility		$520.71	$520.71	$1,075.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $510.50	Professional		$510.50	$510.50	$510.50