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 $643.90 / $858.29 / $1,290.52	Professional		$643.90	$858.29	$1,290.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,895.78 / $1,895.78 / $1,901.11	Facility		$1,895.78	$1,895.78	$1,901.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.45 / $957.62 / $1,106.77	Professional		$713.45	$957.62	$1,106.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.36 / $1,125.79 / $1,492.56	Facility		$609.36	$1,125.79	$1,492.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.75 / $1,135.36 / $1,482.18	Professional		$1,040.75	$1,135.36	$1,482.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $887.93 / $1,117.08	Professional		$32.34	$887.93	$1,117.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,834.98 / $7,849.65 / $9,927.16	Facility		$5,834.98	$7,849.65	$9,927.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,093.96 / $1,287.01 / $1,482.18	Professional		$1,093.96	$1,287.01	$1,482.18
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 $682.11 / $947.96 / $1,294.33	Professional		$682.11	$947.96	$1,294.33