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 $369.83 / $542.64 / $857.14	Professional		$369.83	$542.64	$857.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.37 / $1,006.37 / $1,009.20	Facility		$1,006.37	$1,006.37	$1,009.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.14 / $634.12 / $789.29	Professional		$469.14	$634.12	$789.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $408.15 / $841.24 / $1,037.14	Facility		$408.15	$841.24	$1,037.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $688.50 / $751.09 / $976.26	Professional		$688.50	$751.09	$976.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $587.55 / $739.19	Professional		$32.34	$587.55	$739.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,897.28 / $3,904.76 / $4,869.63	Facility		$2,897.28	$3,904.76	$4,869.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $696.10 / $867.78 / $976.26	Professional		$696.10	$867.78	$976.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $5,550.00 / $12,233.00	Facility		$1,350.00	$5,550.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.58 / $622.44 / $904.91	Professional		$452.58	$622.44	$904.91