Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,102.76	Facility		$2,698.05	$2,698.05	$3,102.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,807.05 / $3,372.57	Professional		$2,698.05	$2,807.05	$3,372.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.33 / $2,545.33 / $2,698.05	Facility		$2,545.33	$2,545.33	$2,698.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Professional		$2,698.05	$2,698.05	$2,698.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $3,372.57 / $4,316.89	Facility		$2,698.05	$3,372.57	$4,316.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,859.94 / $3,372.56	Professional		$2,698.05	$2,859.94	$3,372.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,973.81 / $2,658.13 / $5,183.35	Professional		$1,973.81	$2,658.13	$5,183.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,782.51 / $3,535.45 / $6,547.13	Facility		$2,782.51	$3,535.45	$6,547.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,967.86 / $3,237.66 / $3,237.66	Professional		$2,967.86	$3,237.66	$3,237.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,859.93	Professional		$2,698.05	$2,698.05	$2,859.93