Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.71 / $927.99 / $1,368.54	Professional		$683.71	$927.99	$1,368.54
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 $744.87 / $995.03 / $1,171.46	Professional		$744.87	$995.03	$1,171.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $654.66 / $1,163.26 / $1,573.82	Facility		$654.66	$1,163.26	$1,573.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.33 / $1,205.82 / $1,573.28	Professional		$1,105.33	$1,205.82	$1,573.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,064.53 / $1,186.19	Professional		$32.34	$1,064.53	$1,186.19
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 $1,161.94 / $1,366.99 / $1,573.28	Professional		$1,161.94	$1,366.99	$1,573.28
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 $710.60 / $985.74 / $1,424.58	Professional		$710.60	$985.74	$1,424.58