Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Facility		$3,264.00	$3,264.00	$3,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,187.20 / $3,264.00 / $3,302.40	Professional		$3,187.20	$3,264.00	$3,302.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Facility		$3,264.00	$3,264.00	$3,264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,486.24 / $3,486.24 / $3,732.26	Professional		$3,486.24	$3,486.24	$3,732.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,187.20 / $3,302.40 / $4,177.92	Facility		$3,187.20	$3,302.40	$4,177.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $7,113.60	Professional		$30.00	$30.00	$7,113.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,448.50 / $3,448.50 / $4,232.25	Facility		$3,448.50	$3,448.50	$4,232.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,648.00 / $4,377.60 / $4,560.00	Professional		$3,648.00	$4,377.60	$4,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,480.00	Professional		$3,200.00	$3,200.00	$4,480.00