Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,167.42 / $3,167.42 / $5,070.00	Facility		$3,167.42	$3,167.42	$5,070.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $3,802.50 / $3,802.50	Professional		$1,365.00	$3,802.50	$3,802.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $3,992.63 / $7,605.00	Facility		$1,521.00	$3,992.63	$7,605.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,111.62 / $3,802.50 / $4,182.75	Facility		$2,111.62	$3,802.50	$4,182.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.10 / $2,047.50 / $2,340.00	Professional		$1,790.10	$2,047.50	$2,340.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,802.50	Professional		$30.00	$30.00	$3,802.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,632.50 / $3,900.00 / $7,020.00	Facility		$2,632.50	$3,900.00	$7,020.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,710.69 / $2,914.36 / $2,914.36	Professional		$2,710.69	$2,914.36	$2,914.36
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $819.00 / $2,242.50	Professional		$737.10	$819.00	$2,242.50