Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.48 / $1,762.48 / $2,646.00	Facility		$1,762.48	$1,762.48	$2,646.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.66 / $1,481.08 / $1,481.08	Professional		$531.66	$1,481.08	$1,481.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.54 / $804.71 / $2,962.14	Facility		$740.54	$804.71	$2,962.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.26 / $872.67 / $1,257.30	Professional		$566.26	$872.67	$1,257.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $713.96 / $1,481.08 / $1,629.19	Facility		$713.96	$1,481.08	$1,629.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $759.53 / $759.53 / $911.44	Professional		$759.53	$759.53	$911.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $581.04 / $759.53 / $1,481.08	Professional		$581.04	$759.53	$1,481.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,139.30 / $1,519.06 / $2,734.31	Facility		$1,139.30	$1,519.06	$2,734.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $1,336.11 / $1,336.11	Professional		$645.60	$1,336.11	$1,336.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $319.00 / $721.55	Professional		$35.74	$319.00	$721.55