Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,073.07 / $2,202.64 / $2,228.55	Professional		$2,073.07	$2,202.64	$2,228.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,362.26 / $3,186.83	Facility		$2,202.64	$2,362.26	$3,186.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.04 / $588.04 / $588.04	Professional		$588.04	$588.04	$588.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,910.69 / $2,866.04 / $4,872.26	Facility		$1,910.69	$2,866.04	$4,872.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $636.82 / $636.82 / $796.03	Professional		$636.82	$636.82	$796.03
United Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $3,455.12	Professional		$2,159.44	$2,159.44	$3,455.12