Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.65 / $483.65 / $483.65	Facility		$483.65	$483.65	$483.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $494.35 / $561.76	Professional		$449.41	$494.35	$561.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.97 / $449.41 / $449.41	Facility		$423.97	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $476.37 / $561.76 / $719.05	Facility		$476.37	$561.76	$719.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $476.37 / $561.76	Professional		$449.41	$476.37	$561.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $748.22 / $941.30	Professional		$30.00	$748.22	$941.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $539.29 / $539.29 / $539.29	Professional		$539.29	$539.29	$539.29
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $629.16	Professional		$449.41	$449.41	$629.16