Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,805.00 / $5,519.00	Facility		$4,500.00	$4,805.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.94 / $863.15 / $1,315.04	Professional		$575.94	$863.15	$1,315.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,575.73 / $2,575.73 / $2,582.96	Facility		$2,575.73	$2,575.73	$2,582.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.38 / $925.85 / $1,164.50	Professional		$694.38	$925.85	$1,164.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.50 / $1,117.78 / $1,591.92	Facility		$537.50	$1,117.78	$1,591.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $863.02 / $1,046.08 / $1,332.24	Professional		$863.02	$1,046.08	$1,332.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $895.33 / $1,126.38	Professional		$32.34	$895.33	$1,126.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,040.66 / $7,582.86 / $9,755.03	Facility		$5,040.66	$7,582.86	$9,755.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $900.77 / $1,112.46 / $1,475.34	Professional		$900.77	$1,112.46	$1,475.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $5,550.00 / $12,233.00	Facility		$1,350.00	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.24 / $1,049.76 / $1,549.55	Professional		$760.24	$1,049.76	$1,549.55