Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,390.27 / $3,390.27 / $3,390.27	Facility		$3,390.27	$3,390.27	$3,390.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.90 / $2,542.69 / $2,542.69	Professional		$1,050.90	$2,542.69	$2,542.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.08 / $2,543.42 / $5,085.42	Facility		$1,017.08	$2,543.42	$5,085.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,345.15 / $2,542.69 / $2,796.97	Facility		$1,345.15	$2,542.69	$2,796.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,369.15 / $1,564.74	Professional		$1,303.95	$1,369.15	$1,564.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,542.69	Professional		$30.00	$30.00	$2,542.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,955.93 / $2,607.90 / $4,694.22	Facility		$1,955.93	$2,607.90	$4,694.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,948.71 / $1,948.71 / $2,014.04	Professional		$1,948.71	$1,948.71	$2,014.04
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $469.55 / $1,285.68	Professional		$469.55	$469.55	$1,285.68