Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.17 / $4,466.17 / $6,366.26	Facility		$4,466.17	$4,466.17	$6,366.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,713.99 / $4,774.68 / $4,774.68	Professional		$1,713.99	$4,774.68	$4,774.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.36 / $9,549.36 / $9,549.36	Facility		$9,549.36	$9,549.36	$9,549.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,977.45 / $4,774.68 / $5,252.16	Facility		$2,977.45	$4,774.68	$5,252.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,938.27	Professional		$2,448.56	$2,448.56	$2,938.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $4,774.68	Professional		$30.00	$30.00	$4,774.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,672.84 / $4,897.12 / $8,814.82	Facility		$3,672.84	$4,897.12	$8,814.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,659.61 / $3,659.61 / $3,782.09	Professional		$3,659.61	$3,659.61	$3,782.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $2,815.84	Professional		$1,028.40	$1,028.40	$2,815.84