Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.21 / $1,047.23 / $1,383.80	Professional		$692.21	$1,047.23	$1,383.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,502.28 / $3,502.28 / $3,512.12	Facility		$3,502.28	$3,502.28	$3,512.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.88 / $1,015.70 / $1,212.00	Professional		$744.88	$1,015.70	$1,212.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.77 / $1,383.80 / $1,660.56	Facility		$609.77	$1,383.80	$1,660.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.44 / $1,181.93 / $1,582.35	Professional		$1,083.44	$1,181.93	$1,582.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $933.43 / $1,174.31	Professional		$32.34	$933.43	$1,174.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,660.78 / $14,097.25 / $17,807.80	Facility		$9,660.78	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,146.65 / $1,349.00 / $1,582.34	Professional		$1,146.65	$1,349.00	$1,582.34
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 $712.12 / $1,017.00 / $1,573.00	Professional		$712.12	$1,017.00	$1,573.00