Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.14 / $1,770.71 / $2,075.48	Professional		$941.14	$1,770.71	$2,075.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,498.08	Facility		$1,186.93	$1,186.93	$1,498.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $1,186.93 / $1,265.32	Professional		$866.46	$1,186.93	$1,265.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.95 / $1,669.63 / $2,370.26	Facility		$576.95	$1,669.63	$2,370.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,133.23 / $2,251.75 / $2,370.26	Professional		$2,133.23	$2,251.75	$2,370.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,749.24 / $2,083.23	Professional		$30.00	$1,749.24	$2,083.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,075.48 / $2,314.71 / $3,472.07	Facility		$2,075.48	$2,314.71	$3,472.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.18 / $1,659.18 / $2,488.77	Professional		$1,659.18	$1,659.18	$2,488.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $826.28 / $893.69 / $1,417.38	Professional		$826.28	$893.69	$1,417.38