Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.46 / $941.46 / $941.46	Facility		$941.46	$941.46	$941.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $891.88 / $941.46	Professional		$713.50	$891.88	$941.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $713.50 / $713.50	Facility		$673.11	$713.50	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $756.31 / $936.47 / $1,141.60	Facility		$756.31	$936.47	$1,141.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $749.18 / $891.88	Professional		$713.50	$749.18	$891.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,511.65 / $1,901.76	Professional		$30.00	$1,511.65	$1,901.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $856.20 / $856.20 / $856.20	Professional		$856.20	$856.20	$856.20
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50