Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $652.66 / $652.66	Facility		$652.66	$652.66	$652.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.66 / $1,006.60 / $1,143.85	Professional		$652.66	$1,006.60	$1,143.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.29 / $915.09 / $915.09	Facility		$863.29	$915.09	$915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $1,143.85 / $1,464.14	Facility		$652.66	$1,143.85	$1,464.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $969.99 / $1,143.85	Professional		$915.09	$969.99	$1,143.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $767.16 / $965.13	Professional		$30.00	$767.16	$965.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,098.09 / $1,098.09 / $1,098.09	Professional		$1,098.09	$1,098.09	$1,098.09
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09