Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,878.19 / $3,878.19 / $5,528.12	Facility		$3,878.19	$3,878.19	$5,528.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.34 / $4,146.09 / $4,146.09	Professional		$1,488.34	$4,146.09	$4,146.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,292.18 / $8,292.18 / $8,292.18	Facility		$8,292.18	$8,292.18	$8,292.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,585.46 / $4,146.09 / $4,560.70	Facility		$2,585.46	$4,146.09	$4,560.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $2,551.44	Professional		$2,126.19	$2,126.19	$2,551.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,126.19	Professional		$30.00	$30.00	$2,126.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,189.30 / $4,252.39 / $7,654.32	Facility		$3,189.30	$4,252.39	$7,654.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,177.53 / $3,177.53 / $3,283.81	Professional		$3,177.53	$3,177.53	$3,283.81
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $2,445.13	Professional		$893.00	$893.00	$2,445.13