Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,932.80 / $2,932.80 / $4,225.00	Facility		$2,932.80	$2,932.80	$4,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.50 / $3,168.75 / $3,168.75	Professional		$1,137.50	$3,168.75	$3,168.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.38 / $1,721.69 / $6,337.50	Facility		$1,584.38	$1,721.69	$6,337.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.33 / $1,867.59 / $2,689.36	Professional		$1,211.33	$1,867.59	$2,689.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,527.50 / $3,168.75 / $3,485.63	Facility		$1,527.50	$3,168.75	$3,485.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $1,950.00	Professional		$1,625.00	$1,625.00	$1,950.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,243.13 / $1,462.50 / $3,168.75	Professional		$1,243.13	$1,462.50	$3,168.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,437.50 / $3,250.00 / $5,850.00	Facility		$2,437.50	$3,250.00	$5,850.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,381.25 / $2,858.41 / $2,858.41	Professional		$1,381.25	$2,858.41	$2,858.41
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $682.50 / $1,950.00	Professional		$682.50	$682.50	$1,950.00