Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $871.37 / $871.37	Facility		$871.37	$871.37	$871.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.37 / $1,158.18 / $1,316.11	Professional		$871.37	$1,158.18	$1,316.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $1,052.89 / $1,052.89	Facility		$993.29	$1,052.89	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $1,316.11 / $1,684.62	Facility		$871.37	$1,316.11	$1,684.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,105.53 / $1,316.11	Professional		$1,052.89	$1,105.53	$1,316.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $585.35	Professional		$30.00	$78.00	$585.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,263.46 / $1,263.46 / $1,263.46	Professional		$1,263.46	$1,263.46	$1,263.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,684.62	Professional		$1,052.89	$1,052.89	$1,684.62