Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.59 / $1,683.64 / $1,805.62	Professional		$638.59	$1,683.64	$1,805.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,171.15 / $1,683.64 / $2,062.07	Facility		$1,171.15	$1,683.64	$2,062.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.03 / $1,958.97 / $2,062.07	Professional		$1,578.03	$1,958.97	$2,062.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,253.17 / $3,196.21 / $3,608.62	Professional		$1,253.17	$3,196.21	$3,608.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,443.45 / $1,443.45 / $2,165.17	Professional		$1,443.45	$1,443.45	$2,165.17
United Facility/Professional Professional Modifier Low / Median / High Price $713.37 / $771.56 / $927.93	Professional		$713.37	$771.56	$927.93