Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.21 / $813.21 / $813.21	Facility		$813.21	$813.21	$813.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $813.21 / $918.81	Professional		$735.05	$813.21	$918.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.44 / $735.05 / $735.05	Facility		$693.44	$735.05	$735.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $779.15 / $918.81 / $1,176.08	Facility		$779.15	$918.81	$1,176.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $771.80 / $918.81	Professional		$735.05	$771.80	$918.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,449.28 / $1,823.29	Professional		$30.00	$1,449.28	$1,823.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $882.05 / $882.05 / $882.05	Professional		$882.05	$882.05	$882.05
United Facility/Professional Professional Modifier Low / Median / High Price $735.05 / $735.05 / $735.05	Professional		$735.05	$735.05	$735.05