Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.51 / $1,384.51 / $1,973.53	Facility		$1,384.51	$1,384.51	$1,973.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $1,480.15 / $1,480.15	Professional		$531.34	$1,480.15	$1,480.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,960.28 / $2,960.28 / $2,960.28	Facility		$2,960.28	$2,960.28	$2,960.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.01 / $1,480.15 / $1,628.17	Facility		$923.01	$1,480.15	$1,628.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $910.86	Professional		$759.05	$759.05	$910.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,480.15	Professional		$30.00	$30.00	$1,480.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,138.58 / $1,518.10 / $2,732.58	Facility		$1,138.58	$1,518.10	$2,732.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,134.30 / $1,134.30 / $1,172.42	Professional		$1,134.30	$1,134.30	$1,172.42
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $318.80 / $872.91	Professional		$318.80	$318.80	$872.91