Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $4,471.07 / $6,404.00	Facility		$981.75	$4,471.07	$6,404.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $981.75 / $993.30	Professional		$924.00	$981.75	$993.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Facility		$981.75	$981.75	$981.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $993.30 / $1,420.42	Facility		$981.75	$993.30	$1,420.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,139.64	Professional		$30.00	$30.00	$2,139.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,009.78 / $1,503.90 / $2,361.78	Facility		$1,009.78	$1,503.90	$2,361.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,097.25 / $1,316.70 / $1,371.56	Professional		$1,097.25	$1,316.70	$1,371.56
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,347.50	Professional		$962.50	$962.50	$1,347.50