Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.78 / $717.78 / $717.78	Facility		$717.78	$717.78	$717.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $729.99 / $829.53	Professional		$663.63	$729.99	$829.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.05 / $663.63 / $663.63	Facility		$626.05	$663.63	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $703.45 / $829.53 / $1,061.80	Facility		$703.45	$829.53	$1,061.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $703.44 / $829.54	Professional		$663.63	$703.44	$829.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $1,402.77	Professional		$30.00	$78.00	$1,402.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $796.35 / $796.35 / $796.35	Professional		$796.35	$796.35	$796.35
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63