Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,530.43 / $4,530.43 / $6,526.55	Facility		$4,530.43	$4,530.43	$6,526.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,757.15 / $4,894.91 / $4,894.91	Professional		$1,757.15	$4,894.91	$4,894.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,957.97 / $5,221.25 / $9,789.84	Facility		$1,957.97	$5,221.25	$9,789.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,020.29 / $4,894.91 / $5,384.40	Facility		$3,020.29	$4,894.91	$5,384.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $3,012.25	Professional		$2,510.21	$2,510.21	$3,012.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $4,894.91	Professional		$30.00	$30.00	$4,894.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,765.32 / $5,020.42 / $9,036.76	Facility		$3,765.32	$5,020.42	$9,036.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,751.65 / $3,751.65 / $3,877.35	Professional		$3,751.65	$3,751.65	$3,877.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,171.43 / $3,207.49	Professional		$1,054.29	$1,171.43	$3,207.49