Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $691.83	Professional		$30.20	$50.12	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $707.95	Professional		$512.86	$676.08	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $812.83	Professional		$501.19	$602.56	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $691.83 / $5,128.61	Facility		$89.13	$691.83	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $630.96 / $977.24	Professional		$41.69	$630.96	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $190.55	Professional		$30.20	$30.20	$190.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $776.25	Professional		$562.34	$630.96	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $74.13	Professional		$38.02	$54.95	$74.13