Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $349.80 / $397.50	Professional		$318.00	$349.80	$397.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $318.00 / $318.00	Facility		$300.00	$318.00	$318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Professional		$318.00	$318.00	$318.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $397.50 / $508.80	Facility		$318.00	$397.50	$508.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $337.08 / $397.50	Professional		$318.00	$337.08	$397.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $533.34	Professional		$30.00	$78.00	$533.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $381.60 / $381.60	Professional		$381.60	$381.60	$381.60
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Professional		$318.00	$318.00	$318.00