Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.41 / $961.17 / $1,550.04	Professional		$472.41	$961.17	$1,550.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,484.93 / $4,484.93 / $4,497.54	Facility		$4,484.93	$4,484.93	$4,497.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.83 / $802.35 / $1,291.30	Professional		$484.83	$802.35	$1,291.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.95 / $961.17 / $1,627.54	Facility		$435.95	$961.17	$1,627.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $722.65 / $1,094.93 / $1,387.66	Professional		$722.65	$1,094.93	$1,387.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $982.19 / $1,235.66	Professional		$32.34	$982.19	$1,235.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,662.17 / $14,097.25 / $17,807.80	Facility		$6,662.17	$14,097.25	$17,807.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $778.40 / $1,086.45 / $1,575.90	Professional		$778.40	$1,086.45	$1,575.90
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,450.00 / $7,609.00	Facility		$675.00	$3,450.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.26 / $956.65 / $1,358.77	Professional		$656.26	$956.65	$1,358.77