Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.29 / $1,689.29 / $2,433.60	Facility		$1,689.29	$1,689.29	$2,433.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.20 / $1,825.20 / $1,825.20	Professional		$655.20	$1,825.20	$1,825.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.60 / $991.69 / $3,650.40	Facility		$912.60	$991.69	$3,650.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.62 / $1,075.86 / $1,548.96	Professional		$697.62	$1,075.86	$1,548.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $879.84 / $1,825.20 / $2,007.72	Facility		$879.84	$1,825.20	$2,007.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $936.00 / $1,123.20	Professional		$936.00	$936.00	$1,123.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $716.04 / $842.40 / $1,825.20	Professional		$716.04	$842.40	$1,825.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,404.00 / $1,872.00 / $3,369.60	Facility		$1,404.00	$1,872.00	$3,369.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $795.60 / $1,646.43 / $1,646.43	Professional		$795.60	$1,646.43	$1,646.43
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $393.12 / $1,123.20	Professional		$393.12	$393.12	$1,123.20