Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.21 / $1,267.80 / $6,729.80	Facility		$805.21	$1,267.80	$6,729.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $514.84 / $991.98	Professional		$298.89	$514.84	$991.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,442.88 / $1,442.88 / $1,446.94	Facility		$1,442.88	$1,442.88	$1,446.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.06 / $555.66 / $815.81	Professional		$382.06	$555.66	$815.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $332.72 / $667.00 / $1,051.50	Facility		$332.72	$667.00	$1,051.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $552.92 / $786.70 / $953.58	Professional		$552.92	$786.70	$953.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $671.01 / $844.17	Professional		$32.34	$671.01	$844.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,236.64 / $6,572.09 / $8,615.14	Facility		$4,236.64	$6,572.09	$8,615.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $580.69 / $781.58 / $1,014.25	Professional		$580.69	$781.58	$1,014.25
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 $494.01 / $695.23 / $987.26	Professional		$494.01	$695.23	$987.26