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 $700.14 / $933.18 / $1,400.23	Professional		$700.14	$933.18	$1,400.23
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 $766.90 / $1,007.82 / $1,196.79	Professional		$766.90	$1,007.82	$1,196.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.62 / $1,189.76 / $1,610.26	Facility		$636.62	$1,189.76	$1,610.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.08 / $1,236.09 / $1,611.49	Professional		$1,133.08	$1,236.09	$1,611.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $966.69 / $1,216.16	Professional		$32.34	$966.69	$1,216.16
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 $1,190.83 / $1,400.98 / $1,611.49	Professional		$1,190.83	$1,400.98	$1,611.49
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 $708.12 / $1,012.55 / $1,451.88	Professional		$708.12	$1,012.55	$1,451.88