Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.46 / $1,299.46 / $1,872.00	Facility		$1,299.46	$1,299.46	$1,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $676.80 / $828.00	Professional		$504.00	$676.80	$828.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $762.84 / $2,808.00	Facility		$561.60	$762.84	$2,808.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.75 / $827.24 / $1,034.05	Professional		$683.75	$827.24	$1,034.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.80 / $1,404.00 / $1,488.24	Facility		$676.80	$1,404.00	$1,488.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $864.00	Professional		$720.00	$720.00	$864.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $78.00 / $720.00	Professional		$55.00	$78.00	$720.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,440.00 / $2,592.00	Facility		$1,080.00	$1,440.00	$2,592.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $1,076.08 / $1,112.23	Professional		$612.00	$1,076.08	$1,112.23
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $864.00	Professional		$302.39	$302.39	$864.00