Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.59 / $2,691.77 / $2,800.75	Facility		$1,209.59	$2,691.77	$2,800.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $1,593.02 / $2,262.00	Professional		$306.00	$1,593.02	$2,262.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.80 / $2,412.80 / $4,524.00	Facility		$904.80	$2,412.80	$4,524.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.61 / $1,017.19 / $1,919.95	Professional		$864.61	$1,017.19	$1,919.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,395.71 / $2,262.00 / $3,234.66	Facility		$1,395.71	$2,262.00	$3,234.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,392.00	Professional		$1,160.00	$1,160.00	$1,392.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,262.00	Professional		$30.00	$30.00	$2,262.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,740.00 / $2,320.00 / $4,176.00	Facility		$1,740.00	$2,320.00	$4,176.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,844.60 / $2,040.47 / $2,040.47	Professional		$1,844.60	$2,040.47	$2,040.47
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $1,334.00	Professional		$487.20	$487.20	$1,334.00