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 $666.75 / $948.97 / $1,506.19	Professional		$666.75	$948.97	$1,506.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,093.12 / $10,093.12 / $10,121.49	Facility		$10,093.12	$10,093.12	$10,121.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.82 / $1,122.73 / $1,394.06	Professional		$833.82	$1,122.73	$1,394.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $716.94 / $1,506.19 / $1,807.43	Facility		$716.94	$1,506.19	$1,807.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.07 / $1,322.26 / $1,728.35	Professional		$1,212.07	$1,322.26	$1,728.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,033.83 / $1,167.23	Professional		$32.34	$1,033.83	$1,167.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,972.55 / $34,178.19 / $43,515.35	Facility		$14,972.55	$34,178.19	$43,515.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,275.25 / $1,500.29 / $1,728.35	Professional		$1,275.25	$1,500.29	$1,728.35
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 $810.16 / $1,102.98 / $1,577.68	Professional		$810.16	$1,102.98	$1,577.68