Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.57 / $1,457.56 / $1,660.52	Facility		$843.57	$1,457.56	$1,660.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,214.63 / $1,457.56	Professional		$1,200.00	$1,214.63	$1,457.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,287.51 / $1,736.92	Facility		$1,214.63	$1,287.51	$1,736.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,214.63 / $1,336.09	Professional		$960.00	$1,214.63	$1,336.09
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 $1,238.93 / $1,238.93 / $1,548.66	Professional		$1,238.93	$1,238.93	$1,548.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,943.41	Professional		$1,214.63	$1,214.63	$1,943.41