Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,741.61 / $2,741.61 / $3,949.56	Facility		$2,741.61	$2,741.61	$3,949.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.33 / $2,962.17 / $2,962.17	Professional		$1,063.33	$2,962.17	$2,962.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.86 / $3,159.65 / $5,924.34	Facility		$1,184.86	$3,159.65	$5,924.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,827.74 / $2,962.17 / $3,258.39	Facility		$1,827.74	$2,962.17	$3,258.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $1,519.06 / $1,822.87	Professional		$1,519.06	$1,519.06	$1,822.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,519.06	Professional		$30.00	$30.00	$1,519.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,278.59 / $3,038.12 / $5,468.62	Facility		$2,278.59	$3,038.12	$5,468.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,270.09 / $2,270.09 / $2,346.40	Professional		$2,270.09	$2,270.09	$2,346.40
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $638.01 / $1,746.92	Professional		$638.01	$638.01	$1,746.92