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 $445.19 / $622.04 / $963.04	Professional		$445.19	$622.04	$963.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.37 / $1,006.37 / $1,009.20	Facility		$1,006.37	$1,006.37	$1,009.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.16 / $672.75 / $812.81	Professional		$494.16	$672.75	$812.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $430.02 / $793.77 / $1,106.71	Facility		$430.02	$793.77	$1,106.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $712.52 / $820.48 / $1,012.05	Professional		$712.52	$820.48	$1,012.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $670.38 / $843.38	Professional		$32.34	$670.38	$843.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,897.28 / $3,904.76 / $4,869.63	Facility		$2,897.28	$3,904.76	$4,869.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $886.15 / $1,012.05	Professional		$751.21	$886.15	$1,012.05
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 $501.72 / $705.12 / $995.31	Professional		$501.72	$705.12	$995.31