Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,673.31 / $1,673.31	Professional		$819.00	$1,673.31	$1,673.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $1,303.63	Facility		$1,108.41	$1,108.41	$1,303.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $1,181.61	Professional		$809.14	$1,108.41	$1,181.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $1,448.48 / $2,078.48	Facility		$562.66	$1,448.48	$2,078.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,719.87 / $1,815.42 / $1,910.97	Professional		$1,719.87	$1,815.42	$1,910.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,410.29 / $1,679.56	Professional		$30.00	$1,410.29	$1,679.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,673.31 / $1,866.18 / $2,799.27	Facility		$1,673.31	$1,866.18	$2,799.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,337.68 / $1,395.01 / $2,006.52	Professional		$1,337.68	$1,395.01	$2,006.52
United Facility/Professional Professional Modifier Low / Median / High Price $805.84 / $871.57 / $1,382.30	Professional		$805.84	$871.57	$1,382.30