Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.94 / $1,367.47 / $1,367.47	Professional		$779.94	$1,367.47	$1,367.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,241.49	Facility		$1,149.77	$1,149.77	$1,241.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $1,149.77 / $1,184.26	Professional		$839.33	$1,149.77	$1,184.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.13 / $1,172.45 / $1,561.69	Facility		$478.13	$1,172.45	$1,561.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.52 / $1,483.61 / $1,561.69	Professional		$1,405.52	$1,483.61	$1,561.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,152.52 / $1,372.58	Professional		$30.00	$1,152.52	$1,372.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,367.47 / $1,525.09 / $2,287.64	Facility		$1,367.47	$1,525.09	$2,287.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,093.18 / $1,093.18 / $1,639.77	Professional		$1,093.18	$1,093.18	$1,639.77
United Facility/Professional Professional Modifier Low / Median / High Price $684.76 / $740.61 / $1,141.26	Professional		$684.76	$740.61	$1,141.26