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 $585.00 / $903.92 / $2,392.36	Professional		$585.00	$903.92	$2,392.36
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 $744.60 / $968.79 / $1,150.44	Professional		$744.60	$968.79	$1,150.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $633.41 / $1,143.96 / $1,615.01	Facility		$633.41	$1,143.96	$1,615.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.83 / $1,180.19 / $1,539.51	Professional		$1,081.83	$1,180.19	$1,539.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $917.88 / $1,154.75	Professional		$32.34	$917.88	$1,154.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,474.25 / $6,572.09 / $8,615.14	Facility		$3,474.25	$6,572.09	$8,615.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,087.25 / $1,335.67 / $1,539.51	Professional		$1,087.25	$1,335.67	$1,539.51
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 $726.18 / $989.85 / $1,444.80	Professional		$726.18	$989.85	$1,444.80