Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $194.83 / $194.83	Facility		$194.83	$194.83	$194.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $609.33 / $692.42	Professional		$194.83	$609.33	$692.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.58 / $553.94 / $553.94	Facility		$522.58	$553.94	$553.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Professional		$553.94	$553.94	$553.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $692.42 / $886.30	Facility		$194.83	$692.42	$886.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $587.16 / $692.43	Professional		$553.94	$587.16	$692.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $247.92 / $483.44	Professional		$30.00	$247.92	$483.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $664.72 / $664.72 / $664.72	Professional		$664.72	$664.72	$664.72
United Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $553.94	Professional		$553.94	$553.94	$553.94