Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.50 / $4,500.00 / $7,205.00	Facility		$717.50	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.93 / $1,348.30 / $2,015.07	Professional		$790.93	$1,348.30	$2,015.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.18 / $789.18 / $791.40	Facility		$789.18	$789.18	$791.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.04 / $1,248.66 / $1,649.88	Professional		$755.04	$1,248.66	$1,649.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.60 / $1,198.22 / $2,115.82	Facility		$686.60	$1,198.22	$2,115.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.03 / $1,509.35 / $1,860.10	Professional		$1,235.03	$1,509.35	$1,860.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,298.23 / $1,633.26	Professional		$32.34	$1,298.23	$1,633.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,749.17 / $3,789.62 / $4,803.78	Facility		$2,749.17	$3,789.62	$4,803.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,329.64 / $1,627.62 / $2,015.41	Professional		$1,329.64	$1,627.62	$2,015.41
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 $750.36 / $1,167.55 / $1,689.07	Professional		$750.36	$1,167.55	$1,689.07