Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Facility		$6,181.20	$6,181.20	$6,181.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $6,035.76 / $6,253.92	Professional		$5,817.60	$6,035.76	$6,253.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Facility		$6,181.20	$6,181.20	$6,181.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Professional		$6,181.20	$6,181.20	$6,181.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $845.19 / $6,253.92 / $7,911.94	Facility		$845.19	$6,253.92	$7,911.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.81 / $915.81 / $934.44	Professional		$915.81	$915.81	$934.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,500.00	Professional		$30.00	$55.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,943.00 / $5,623.80 / $9,857.50	Facility		$3,943.00	$5,623.80	$9,857.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $7,726.50	Professional		$6,181.20	$6,181.20	$7,726.50
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,060.00 / $6,423.60	Professional		$6,060.00	$6,060.00	$6,423.60