Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,257.44 / $3,257.44 / $3,257.44	Facility		$3,257.44	$3,257.44	$3,257.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $2,948.84 / $3,257.44	Professional		$2,743.10	$2,948.84	$3,257.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Facility		$2,914.55	$2,914.55	$2,914.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,948.84 / $4,216.84	Facility		$2,914.55	$2,948.84	$4,216.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,491.94 / $6,352.01	Professional		$30.00	$2,491.94	$6,352.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,031.60 / $3,031.60 / $3,720.60	Facility		$3,031.60	$3,031.60	$3,720.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,257.44 / $3,908.93 / $4,071.80	Professional		$3,257.44	$3,908.93	$4,071.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $4,571.84	Professional		$2,857.40	$2,857.40	$4,571.84