Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.00 / $4,500.00 / $8,622.00	Facility		$3,422.00	$4,500.00	$8,622.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.78 / $979.05 / $1,359.42	Professional		$675.78	$979.05	$1,359.42
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 $753.14 / $1,021.12 / $1,259.52	Professional		$753.14	$1,021.12	$1,259.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.87 / $1,359.42 / $1,644.90	Facility		$647.87	$1,359.42	$1,644.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.19 / $1,194.75 / $1,566.79	Professional		$1,095.19	$1,194.75	$1,566.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $938.65 / $1,180.88	Professional		$32.34	$938.65	$1,180.88
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 $1,148.34 / $1,351.00 / $1,566.79	Professional		$1,148.34	$1,351.00	$1,566.79
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 $729.22 / $1,049.88 / $1,420.06	Professional		$729.22	$1,049.88	$1,420.06