Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.08 / $911.42 / $1,370.78	Professional		$684.08	$911.42	$1,370.78
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 $741.85 / $1,018.94 / $1,174.58	Professional		$741.85	$1,018.94	$1,174.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.30 / $1,189.65 / $1,644.94	Facility		$634.30	$1,189.65	$1,644.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.26 / $1,204.65 / $1,573.88	Professional		$1,104.26	$1,204.65	$1,573.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $942.52 / $1,185.76	Professional		$32.34	$942.52	$1,185.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,834.98 / $8,126.28 / $9,927.16	Facility		$5,834.98	$8,126.28	$9,927.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,161.94 / $1,366.99 / $1,573.88	Professional		$1,161.94	$1,366.99	$1,573.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $10,120.00 / $27,159.00	Facility		$2,100.00	$10,120.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.60 / $949.13 / $1,355.91	Professional		$696.60	$949.13	$1,355.91