Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $8,512.79 / $25,847.71	Facility		$1,053.85	$8,512.79	$25,847.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,053.85 / $1,070.64	Professional		$991.87	$1,053.85	$1,070.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Facility		$1,053.85	$1,053.85	$1,053.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,053.85 / $1,053.85	Professional		$1,053.85	$1,053.85	$1,053.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,029.07 / $1,119.57 / $1,364.81	Facility		$1,029.07	$1,119.57	$1,364.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $511.55 / $883.71 / $962.82	Professional		$511.55	$883.71	$962.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,825.67 / $3,500.00	Professional		$30.00	$1,825.67	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,096.04 / $1,525.82 / $2,543.03	Facility		$1,096.04	$1,525.82	$2,543.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,017.21 / $1,413.42 / $1,472.31	Professional		$1,017.21	$1,413.42	$1,472.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,033.20	Professional		$1,033.20	$1,033.20	$1,033.20