Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,437.04 / $2,437.04 / $3,473.83	Facility		$2,437.04	$2,437.04	$3,473.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.26 / $2,605.38 / $2,605.38	Professional		$935.26	$2,605.38	$2,605.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,210.76 / $5,210.76 / $5,210.76	Facility		$5,210.76	$5,210.76	$5,210.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,624.69 / $2,605.38 / $2,865.92	Facility		$1,624.69	$2,605.38	$2,865.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $1,603.31	Professional		$1,336.09	$1,336.09	$1,603.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,336.09	Professional		$30.00	$30.00	$1,336.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,004.14 / $2,672.18 / $4,809.92	Facility		$2,004.14	$2,672.18	$4,809.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,996.97 / $1,996.97 / $2,063.77	Professional		$1,996.97	$1,996.97	$2,063.77
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $561.16 / $1,536.50	Professional		$561.16	$561.16	$1,536.50