Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.26 / $2,255.40 / $2,255.40	Professional		$955.26	$2,255.40	$2,255.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,520.54	Facility		$1,207.09	$1,207.09	$1,520.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $1,243.31	Professional		$881.18	$1,207.09	$1,243.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.17 / $1,814.36 / $2,575.73	Facility		$622.17	$1,814.36	$2,575.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,318.17 / $2,446.94 / $2,575.73	Professional		$2,318.17	$2,446.94	$2,575.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,924.26 / $2,318.17	Professional		$30.00	$1,924.26	$2,318.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,255.40 / $2,515.37 / $3,773.06	Facility		$2,255.40	$2,515.37	$3,773.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,803.02 / $1,803.02 / $2,704.53	Professional		$1,803.02	$1,803.02	$2,704.53
United Facility/Professional Professional Modifier Low / Median / High Price $891.07 / $963.76 / $1,721.03	Professional		$891.07	$963.76	$1,721.03