Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.38 / $2,060.85 / $2,060.85	Professional		$927.38	$2,060.85	$2,060.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $1,476.19	Facility		$1,184.20	$1,184.20	$1,476.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $864.47 / $1,388.66	Professional		$864.47	$864.47	$1,388.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $568.52 / $1,657.85 / $2,353.55	Facility		$568.52	$1,657.85	$2,353.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,118.19 / $2,235.87 / $2,353.55	Professional		$2,118.19	$2,235.87	$2,353.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,736.92 / $2,068.55	Professional		$30.00	$1,736.92	$2,068.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,060.85 / $2,298.39 / $3,447.59	Facility		$2,060.85	$2,298.39	$3,447.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,647.49 / $1,647.49 / $2,471.23	Professional		$1,647.49	$1,647.49	$2,471.23
United Facility/Professional Professional Modifier Low / Median / High Price $814.21 / $880.62 / $1,396.66	Professional		$814.21	$880.62	$1,396.66