Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.65 / $1,420.65 / $2,046.59	Facility		$1,420.65	$1,420.65	$2,046.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.01 / $739.92 / $739.92	Professional		$551.01	$739.92	$739.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.98 / $1,637.28 / $3,069.90	Facility		$613.98	$1,637.28	$3,069.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.10 / $1,534.94 / $1,688.43	Facility		$947.10	$1,534.94	$1,688.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $787.15 / $944.58	Professional		$787.15	$787.15	$944.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $1,534.94	Professional		$30.00	$78.00	$1,534.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,180.73 / $1,574.30 / $2,833.74	Facility		$1,180.73	$1,574.30	$2,833.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,176.58 / $1,176.58 / $1,215.85	Professional		$1,176.58	$1,176.58	$1,215.85
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $330.60 / $787.15	Professional		$330.60	$330.60	$787.15