Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $4,500.00 / $8,439.00	Facility		$4,415.00	$4,500.00	$8,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $853.51 / $1,270.76	Professional		$634.54	$853.51	$1,270.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,214.76 / $4,214.76 / $4,226.60	Facility		$4,214.76	$4,214.76	$4,226.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.59 / $941.00 / $1,089.68	Professional		$702.59	$941.00	$1,089.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $596.37 / $1,082.05 / $1,470.10	Facility		$596.37	$1,082.05	$1,470.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.41 / $1,120.81 / $1,461.21	Professional		$1,027.41	$1,120.81	$1,461.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $876.63 / $1,102.85	Professional		$32.34	$876.63	$1,102.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,138.70 / $17,361.59 / $22,059.79	Facility		$8,138.70	$17,361.59	$22,059.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,080.36 / $1,271.02 / $1,461.21	Professional		$1,080.36	$1,271.02	$1,461.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $9,360.00 / $17,870.00	Facility		$1,500.00	$9,360.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.41 / $924.45 / $1,327.57	Professional		$676.41	$924.45	$1,327.57