Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,386.40 / $3,468.00 / $3,725.04	Professional		$3,386.40	$3,468.00	$3,725.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,165.30 / $3,165.30 / $3,388.66	Professional		$3,165.30	$3,165.30	$3,388.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,386.40 / $3,508.80 / $4,439.04	Facility		$3,386.40	$3,508.80	$4,439.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $7,558.20	Professional		$30.00	$30.00	$7,558.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.80 / $3,264.80 / $4,006.80	Facility		$3,264.80	$3,264.80	$4,006.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,876.00 / $4,651.20 / $4,845.00	Professional		$3,876.00	$4,651.20	$4,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $4,760.00	Professional		$3,400.00	$3,400.00	$4,760.00