Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Facility		$1,243.54	$1,243.54	$1,243.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $1,243.54 / $1,258.17	Professional		$1,170.39	$1,243.54	$1,258.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Facility		$1,243.54	$1,243.54	$1,243.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,333.66 / $1,799.18	Facility		$1,243.54	$1,333.66	$1,799.18
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 $1,271.82 / $1,816.89 / $3,042.08	Facility		$1,271.82	$1,816.89	$3,042.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,950.66	Professional		$1,219.16	$1,219.16	$1,950.66