Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.89 / $1,077.54 / $1,077.54	Professional		$484.89	$1,077.54	$1,077.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $771.81	Facility		$741.89	$741.89	$771.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $790.90	Professional		$541.58	$541.58	$790.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $362.74 / $866.81 / $1,230.58	Facility		$362.74	$866.81	$1,230.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.52 / $1,169.05 / $1,230.58	Professional		$1,107.52	$1,169.05	$1,230.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $908.16 / $1,081.57	Professional		$30.00	$908.16	$1,081.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,077.54 / $1,201.74 / $1,802.61	Facility		$1,077.54	$1,201.74	$1,802.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $861.41 / $892.20 / $1,292.10	Professional		$861.41	$892.20	$1,292.10
United Facility/Professional Professional Modifier Low / Median / High Price $519.51 / $561.89 / $891.15	Professional		$519.51	$561.89	$891.15