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 $540.58 / $775.84 / $1,223.18	Professional		$540.58	$775.84	$1,223.18
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 $675.43 / $911.16 / $1,131.11	Professional		$675.43	$911.16	$1,131.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.72 / $1,223.18 / $1,480.05	Facility		$585.72	$1,223.18	$1,480.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $988.45 / $1,078.31 / $1,406.60	Professional		$988.45	$1,078.31	$1,406.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $843.40 / $1,061.05	Professional		$32.34	$843.40	$1,061.05
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 $1,040.14 / $1,223.69 / $1,406.60	Professional		$1,040.14	$1,223.69	$1,406.60
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 $647.15 / $896.47 / $1,275.75	Professional		$647.15	$896.47	$1,275.75