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 $609.24 / $795.82 / $1,254.72	Professional		$609.24	$795.82	$1,254.72
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 $693.06 / $905.25 / $1,074.99	Professional		$693.06	$905.25	$1,074.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $577.91 / $1,066.51 / $1,450.09	Facility		$577.91	$1,066.51	$1,450.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.66 / $1,107.99 / $1,442.74	Professional		$1,015.66	$1,107.99	$1,442.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $866.28 / $1,089.83	Professional		$32.34	$866.28	$1,089.83
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 $1,066.77 / $1,255.02 / $1,442.74	Professional		$1,066.77	$1,255.02	$1,442.74
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 $667.28 / $919.89 / $1,316.00	Professional		$667.28	$919.89	$1,316.00