Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $381.64 / $438.89	Facility		$381.64	$381.64	$438.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.64 / $423.33 / $481.06	Professional		$381.64	$423.33	$481.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $384.85 / $384.85	Facility		$363.06	$384.85	$384.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.33 / $509.92 / $687.92	Facility		$423.33	$509.92	$687.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $481.06	Professional		$384.85	$384.85	$481.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $381.50 / $381.50 / $381.50	Professional		$381.50	$381.50	$381.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $403.34 / $610.27 / $1,023.67	Facility		$403.34	$610.27	$1,023.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $461.82 / $461.82 / $481.06	Professional		$461.82	$461.82	$481.06
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $428.42	Professional		$384.85	$384.85	$428.42