Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $2,376.40	Facility		$0.02	$0.02	$2,376.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.60 / $822.60 / $2,376.40	Professional		$822.60	$822.60	$2,376.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $712.92 / $1,901.12 / $3,564.60	Facility		$712.92	$1,901.12	$3,564.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.23 / $801.45 / $1,512.58	Professional		$681.23	$801.45	$1,512.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $1,371.00 / $1,371.00	Facility		$1,371.00	$1,371.00	$1,371.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $914.00 / $1,096.80	Professional		$914.00	$914.00	$1,096.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $699.21 / $822.60 / $1,782.30	Professional		$699.21	$822.60	$1,782.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $1,828.00 / $3,290.40	Facility		$1,371.00	$1,828.00	$3,290.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,569.65 / $1,607.78 / $1,607.78	Professional		$1,569.65	$1,607.78	$1,607.78
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $1,096.80	Professional		$383.88	$383.88	$1,096.80