Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,534.27 / $4,534.27 / $4,534.27	Facility		$4,534.27	$4,534.27	$4,534.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.60 / $1,099.60 / $1,099.60	Professional		$1,099.60	$1,099.60	$1,099.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.56 / $2,661.30 / $6,801.42	Facility		$1,140.56	$2,661.30	$6,801.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,407.50 / $3,400.70 / $3,740.77	Facility		$1,407.50	$3,400.70	$3,740.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $1,831.15 / $2,092.73	Professional		$1,743.95	$1,831.15	$2,092.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,400.70	Professional		$30.00	$30.00	$3,400.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,615.92 / $3,487.90 / $6,278.22	Facility		$2,615.92	$3,487.90	$6,278.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,606.40 / $2,606.40 / $2,693.42	Professional		$2,606.40	$2,606.40	$2,693.42
United Facility/Professional Professional Modifier Low / Median / High Price $491.32 / $491.32 / $1,403.76	Professional		$491.32	$491.32	$1,403.76