Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $401.47 / $415.98	Professional		$386.96	$401.47	$415.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Facility		$411.15	$411.15	$411.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.15 / $411.15 / $411.15	Professional		$411.15	$411.15	$411.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.80 / $427.27 / $533.79	Facility		$391.80	$427.27	$533.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $427.27 / $427.27 / $427.27	Professional		$427.27	$427.27	$427.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $384.54 / $3,500.00	Professional		$30.00	$384.54	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $413.17 / $662.27 / $1,068.18	Facility		$413.17	$662.27	$1,068.18
United Facility/Professional Professional Modifier Low / Median / High Price $403.08 / $403.08 / $564.30	Professional		$403.08	$403.08	$564.30