Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.60 / $788.60 / $788.60	Facility		$788.60	$788.60	$788.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.02 / $1,011.28 / $1,226.25	Professional		$784.02	$1,011.28	$1,226.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.08 / $1,411.77 / $2,134.26	Professional		$1,156.08	$1,411.77	$2,134.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $939.90 / $1,156.08 / $1,569.60	Facility		$939.90	$1,156.08	$1,569.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,135.11 / $1,135.11 / $1,238.57	Professional		$1,135.11	$1,135.11	$1,238.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,000.00 / $3,900.00	Professional		$30.00	$2,000.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,340.66 / $1,340.66 / $1,787.54	Facility		$1,340.66	$1,340.66	$1,787.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $1,308.77 / $1,308.77	Professional		$1,308.77	$1,308.77	$1,308.77